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Individual

DEANNE ANGELA WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711-0027
(570) 808-7300
Mailing address
253 FREDERICK ST, KINGSTON, PA 18704-2711
(570) 550-3245

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP022340
PA

Other

Enumeration date
08/07/2020
Last updated
08/07/2020
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