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Individual

GITA MUKUNDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
301 LAKE ST, DALLAS, PA 18612-1090
(570) 674-6400
Mailing address
1192 EGRET CT, MECHANICSBURG, PA 17050-8338
(717) 839-8060

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN745673
PA

Other

Enumeration date
07/06/2026
Last updated
07/06/2026
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