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1558689109
GLADYS M BASILA-KING
WILKES BARRE, PA
NPI
1558689109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: PA DN004153)
Enumeration Date
2010-05-06
Last Update Date
2010-05-06
Business Address
-- GLADYS M BASILA-KING RD
1111 E END BLVD
WILKES BARRE, PA 18711-0030
Phone number: 570-824-3521
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Mailing Address
-- GLADYS M BASILA-KING RD
5 DAVIS ST
SPRING BROOK TOWNSHIP, PA 18444-6232
Phone number: 570-877-8620
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