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1740878669
DAVID JOSEPH PETKUS
STATE COLLEGE, PA
NPI
1740878669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA062264)
Enumeration Date
2021-01-06
Last Update Date
2021-01-06
Business Address
Mr. DAVID JOSEPH PETKUS PA-C
1526 MARTIN ST
STATE COLLEGE, PA 16803-3058
Phone number: 814-237-0001
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Mailing Address
Mr. DAVID JOSEPH PETKUS PA-C
411 PARK LN
STATE COLLEGE, PA 16803-1439
Phone number: 517-270-0951
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