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Organization
SUSTUS, LLC
Active
Organization
SUSTUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MICHEAL MASORTI D.C. (CLINICAL DIRECTOR)
(814) 272-0420
Entity
Organization
Contact information
Practice address
251 EASTERLY PKWY, BLDG 2, STATE COLLEGE, PA 16801-6301
(814) 272-0420
Mailing address
251 EASTERLY PKWY BLDG 2, STATE COLLEGE, PA 16801-6301
(814) 272-0420
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003788L
PA
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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