Individual
MRS. CRYSTAL LEE GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-2300
Mailing address
3 E HILL CHURCH RD, ADDISON, NY 14801-9648
(724) 762-3697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051691
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03319775
—
NY
Enumeration date
06/11/2007
Last updated
04/26/2017
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