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1780657890
MICHELLE MARIE SPONG
HERSHEY, PA
NPI
1780657890
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Former Name
MICHELLE MARIE HALUPA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA003417L)
Enumeration Date
2006-02-09
Last Update Date
2011-05-05
Business Address
-- MICHELLE MARIE SPONG PA-C
500 UNIVERSITY DR
HERSHEY, PA 17033-2360
Phone number: 800-243-1455
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Mailing Address
-- MICHELLE MARIE SPONG PA-C
PO BOX 858 MC A410
HERSHEY, PA 17033-0858
Phone number: 800-243-1455
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