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1477529501
KYLE FETTEROLF
WILKES BARRE, PA
NPI
1477529501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA001889L)
Enumeration Date
2006-02-28
Last Update Date
2024-05-20
Business Address
KYLE FETTEROLF PA
575 N RIVER ST
WILKES BARRE, PA 18764-0999
Phone number: 570-270-9192
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Mailing Address
KYLE FETTEROLF PA
PO BOX 349
DUNMORE, PA 18512-0349
Phone number:
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