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1770606261
DIANA DISTASIO
WILKES BARRE, PA
NPI
1770606261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: PA RN257310L)
Enumeration Date
2007-04-09
Last Update Date
2016-04-25
Business Address
Mrs. DIANA DISTASIO RN
15 PUBLIC SQ SUITE 600
WILKES BARRE, PA 18701-1702
Phone number: 570-826-1777
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Mailing Address
Mrs. DIANA DISTASIO RN
15 PUBLIC SQ SUITE 600
WILKES BARRE, PA 18701-1702
Phone number: 570-826-1777
Copy
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