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1881053395
JAIRAD S HYDRICK
WILKES BARRE, PA
NPI
1881053395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-02-12
Last Update Date
2016-07-28
Business Address
Mr. JAIRAD S HYDRICK PPAS
133 N RIVER ST BOX NUMBER 2110
WILKES BARRE, PA 18711-0800
Phone number: 803-609-7375
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Mailing Address
Mr. JAIRAD S HYDRICK PPAS
133 N RIVER ST BOX NUMBER 2110
WILKES BARRE, PA 18711-0800
Phone number: 803-609-7375
Copy
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