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1790709871
NEIL CULLEN HEFFERNAN
WILKES-BARRE, PA
NPI
1790709871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: PA MA001791L)
Enumeration Date
2006-07-26
Last Update Date
2007-07-09
Business Address
Mr. NEIL CULLEN HEFFERNAN PA
1111 EASTEND BLVD
WILKES-BARRE, PA 18711
Phone number: 570-824-3521
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Mailing Address
Mr. NEIL CULLEN HEFFERNAN PA
30 FARMHOUSE RD
MOUNTAIN TOP, PA 18707-1725
Phone number: 570-474-6249
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