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Individual

MS. VALARIE J MICELI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1229 S 2ND ST, CLEARFIELD, PA 16830-3305
(814) 765-0221
(814) 765-3011
Mailing address
15158 ROCKTON MT HWY, CLEARFIELD, PA 16830
(814) 765-9602

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OC007332L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01888788
PA
Enumeration date
07/13/2006
Last updated
07/08/2007
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