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1821206178
BLUE AND GREEN MEDICAL PC
JOHNSTOWN, PA
NPI
1821206178
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Entity Type
Organization
Authorized Contact
NELLY G TEPPER
Owner
814-255-0102
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD059706L)
Enumeration Date
2007-05-18
Last Update Date
2020-08-22
Business Address
BLUE AND GREEN MEDICAL PC
1743 GOUCHER STREET
JOHNSTOWN, PA 15905
Phone number: 814-255-0102
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Mailing Address
BLUE AND GREEN MEDICAL PC
PO BOX 819
JOHNSTOWN, PA 15907-0819
Phone number: 814-255-0102
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