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1386643880
KELLY S. MICKULIK
READING, PA
NPI
1386643880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA050888)
Enumeration Date
2005-07-18
Last Update Date
2018-08-29
Business Address
KELLY S. MICKULIK PA-C
3317 PENN AVE
READING, PA 19609-1436
Phone number: 610-750-7891
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Mailing Address
KELLY S. MICKULIK PA-C
3317 PENN AVE
READING, PA 19609-1436
Phone number: 610-750-7891
Copy
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