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1669177481
IAN MCALLISTER LAKE
DANVILLE, PA
NPI
1669177481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
IAN MCALLISTER LAKE DO
100 N ACADEMY AVE
DANVILLE, PA 17822-9800
Phone number: 570-271-6812
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Mailing Address
IAN MCALLISTER LAKE DO
100 N ACADEMY AVE
DANVILLE, PA 17822-9800
Phone number: 570-271-6812
Copy
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