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1497181416
ADRIANA DISTANISLAO
STATE COLLEGE, PA
NPI
1497181416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA056368)
Enumeration Date
2013-09-23
Last Update Date
2017-07-27
Business Address
-- ADRIANA DISTANISLAO PA-C
1850 E PARK AVE STE 312
STATE COLLEGE, PA 16803-6706
Phone number: 814-237-6600
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Mailing Address
-- ADRIANA DISTANISLAO PA-C
501 S 54TH ST
PHILADELPHIA, PA 19143-1900
Phone number:
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