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Individual

DAVID MICHAEL AMUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
5120 SIMPSON FERRY RD, MECHANICSBURG, PA 17050-3627
(717) 766-7652
(717) 766-5828
Mailing address
5120 SIMPSON FERRY RD, MECHANICSBURG, PA 17050-3627
(717) 766-7652
(717) 766-5828

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN275425
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PN275425
LPN LICENSE
PA
Enumeration date
02/03/2011
Last updated
02/03/2011
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