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Individual

MRS. EMILY GRACE GERGELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPAS, PA-C

Contact information

Practice address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 889-2005
Mailing address
11811 WILLIAM PENN RD, IMLER, PA 16655-8942
(814) 327-7309

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065699
PA
363A00000X
Physician Assistant
OA006915
PA

Other

Enumeration date
07/03/2024
Last updated
11/21/2024
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