ERIC BLAZE DEGELOW

HARRISBURG, PA
NPI1790483105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: PA  SPO27130)
Enumeration Date2023-02-16
Last Update Date2023-10-17
Business Address
ERIC BLAZE DEGELOW
111 S FRONT ST
HARRISBURG, PA 17101-2010
Phone number: 717-231-8772
Mailing Address
ERIC BLAZE DEGELOW
111 S FRONT ST
HARRISBURG, PA 17101-2010
Phone number: 717-231-8772
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