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1396878922
TRACY LYNN LIBERATORE
WILKES BARRE, PA
NPI
1396878922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA051327)
Enumeration Date
2007-03-13
Last Update Date
2008-02-05
Business Address
-- TRACY LYNN LIBERATORE PA-C
150 MUNDY ST
WILKES BARRE, PA 18702-6830
Phone number: 570-824-0930
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Mailing Address
-- TRACY LYNN LIBERATORE PA-C
150 MUNDY ST MAC IV BUILDING
WILKES BARRE, PA 18702-6830
Phone number: 570-824-0930
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