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Individual

COURTNEY WISSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1630 S ATHERTON ST, STATE COLLEGE, PA 16801-6209
(814) 237-1479
Mailing address
1630 S ATHERTON ST, STATE COLLEGE, PA 16801-6209

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP456111
PA

Other

Enumeration date
10/12/2022
Last updated
11/14/2022
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