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Individual

PERRY JON LANGBEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
273 GRANDVIEW AVE, HONESDALE, PA 18431-1163
(570) 390-4545
Mailing address
238 SENECA DR, MILFORD, PA 18337-9708
(570) 269-9584

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP026122
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP026122
NP LICENSE
PA
Enumeration date
08/26/2022
Last updated
08/26/2022
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