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1821579913
RD OF NEPA LLC
MOOSIC, PA
NPI
1821579913
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Entity Type
Organization
Authorized Contact
LEANNA TABATABAIE
Owner
570-457-2464
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2018-08-27
Last Update Date
2022-09-08
Business Address
RD OF NEPA LLC
532 MAIN ST STE 3
MOOSIC, PA 18507-1001
Phone number: 570-457-2464
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Mailing Address
RD OF NEPA LLC
532 MAIN ST STE 3
MOOSIC, PA 18507-1001
Phone number: 570-457-2464
Copy
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