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1720058795
MARK TRENTLY
SCRANTON, PA
NPI
1720058795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA 051661)
Enumeration Date
2006-01-24
Last Update Date
2008-04-02
Business Address
MARK TRENTLY CRNA
1822 JMULBERRY ST
SCRANTON, PA 18510
Phone number: 570-346-7797
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Mailing Address
MARK TRENTLY CRNA
PO BOX 797
SCRANTON, PA 18501
Phone number: 570-346-7797
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