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1801676333
CHARLES ANTHONY MIKULKA
PHILADELPHIA, PA
NPI
1801676333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA065066)
Enumeration Date
2023-10-02
Last Update Date
2023-10-03
Business Address
Mr. CHARLES ANTHONY MIKULKA PA-C
4201 HENRY AVE
PHILADELPHIA, PA 19144-5409
Phone number: 717-725-1069
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Mailing Address
Mr. CHARLES ANTHONY MIKULKA PA-C
4201 HENRY AVE
PHILADELPHIA, PA 19144-5409
Phone number:
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