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Individual

PAULA JEAN SANDOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUDIOLOGIST

Contact information

Practice address
195 BOUNDRY LN STE 1, BEAVER, PA 15009-2992
(724) 775-4327
Mailing address
2501 COTTONTAIL LN, SOMERSET, NJ 08873-5125
(732) 529-7120

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
80931
TX
231H00000X
Audiologist
Primary
AT001162L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00226393
HIGHMARK
PA
01
04973
NATIONAL EAR CARE PLAN
PA
01
2500952
AETNA
PA
Enumeration date
07/06/2006
Last updated
12/10/2019
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