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1588272959
ELAINE MICHELE MATISKO
STATE COLLEGE, PA
NPI
1588272959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: PA SP022121)
Enumeration Date
2020-07-21
Last Update Date
2023-11-09
Business Address
ELAINE MICHELE MATISKO AG-CRNP
1850 E PARK AVE STE 302
STATE COLLEGE, PA 16803-6706
Phone number: 814-278-4680
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Mailing Address
ELAINE MICHELE MATISKO AG-CRNP
1800 E PARK AVE
STATE COLLEGE, PA 16803-6797
Phone number: 814-278-4680
Copy
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