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Individual

MARIANNE HERMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
139 COUNTRY LN, PROSPERITY, SC 29127-6813
(570) 421-9800
Mailing address
102 TANITE RD, STROUDSBURG, PA 18360-7369
(610) 554-3367
(570) 421-9825

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
332B00000X
PA

Other

Enumeration date
06/24/2016
Last updated
06/24/2016
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