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1780219980
KENNETH R LODS
JOHNSTOWN, PA
NPI
1780219980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: PA 2019084433)
Enumeration Date
2020-03-08
Last Update Date
2020-03-08
Business Address
KENNETH R LODS FNP
411 TUNNEL AVE
JOHNSTOWN, PA 15905-3726
Phone number: 814-243-9951
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Mailing Address
KENNETH R LODS FNP
411 TUNNEL AVE
JOHNSTOWN, PA 15905-3726
Phone number: 814-243-9951
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