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1679175327
HEAVEN MARTIN
POTTSVILLE, PA
NPI
1679175327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA061796)
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
HEAVEN MARTIN PA-C
106 S CLAUDE A LORD BLVD
POTTSVILLE, PA 17901-3639
Phone number: 570-728-2424
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Mailing Address
HEAVEN MARTIN PA-C
2100 MACK BLVD FL 4
ALLENTOWN, PA 18103-5622
Phone number: 484-884-0617
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