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1750393765
IVONA AGATA KOCON
WILKES BARRE, PA
NPI
1750393765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA ma002563l)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
Mrs. IVONA AGATA KOCON PA-C
1111 E END BLVD
WILKES BARRE, PA 18711-0030
Phone number: 570-824-3521
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Mailing Address
Mrs. IVONA AGATA KOCON PA-C
5 WILDWOOD LN
MOUNTAIN TOP, PA 18707-9663
Phone number: 570-868-7678
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