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1508019555
ALIA ALYN YESALAVAGE
WILKES BARRE, PA
NPI
1508019555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA SP010019)
Enumeration Date
2008-11-03
Last Update Date
2009-11-30
Business Address
-- ALIA ALYN YESALAVAGE C.R.N.P.
150 MUNDY ST MAC IV BUILDING
WILKES BARRE, PA 18702-6830
Phone number: 570-824-0930
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Mailing Address
-- ALIA ALYN YESALAVAGE C.R.N.P.
47 ROCKLEDGE DR
MOUNTAIN TOP, PA 18707-1953
Phone number: 570-474-2126
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