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1558816652
MICKEY MCDONOUGH
LANCASTER, PA
NPI
1558816652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SPO16354)
Enumeration Date
2016-08-18
Last Update Date
2016-08-18
Business Address
-- MICKEY MCDONOUGH
555 N DUKE ST
LANCASTER, PA 17602-2250
Phone number: 717-544-4978
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Mailing Address
-- MICKEY MCDONOUGH
555 N DUKE ST
LANCASTER, PA 17602-2250
Phone number:
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