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Individual

CYNTHIA WICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1633 PHILIPSBURG BIGLER HWY, PHILIPSBURG, PA 16866-8112
(814) 342-5678
(814) 342-2755
Mailing address
43 SCOTT LN, PHILIPSBURG, PA 16866-8550
(814) 342-5678
(814) 342-2755

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN071500L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001888053
PA
Enumeration date
10/16/2015
Last updated
10/16/2015
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