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Individual

CARLENE BURGETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
118 MONAHAN AVE, DUNMORE, PA 18512-1700
(570) 241-0359
Mailing address
921 HARRISON AVE, SCRANTON, PA 18510-1403
(570) 309-9797

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN275287
PA

Other

Enumeration date
05/03/2023
Last updated
05/03/2023
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