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1881668739
CANDICE VAN ETTEN
KINGSTON, PA
NPI
1881668739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247100000X Radiologic Technologist
(Licence: PA 108374)
Enumeration Date
2006-02-16
Last Update Date
2008-07-17
Business Address
-- CANDICE VAN ETTEN crvt
540 PIERCE ST
KINGSTON, PA 18704-5751
Phone number: 570-718-0101
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Mailing Address
-- CANDICE VAN ETTEN crvt
540 PIERCE ST
KINGSTON, PA 18704-5751
Phone number: 570-718-0101
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