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Individual

DR. HOMILER ELIE PHANOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
600 N LAUREL ST, HAZLETON, PA 18201-4339
(570) 455-7890
(570) 455-7560
Mailing address
4 FAIRFIELD DR, WILKES BARRE, PA 18702-7311
(908) 349-0574

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
171WH0202X
Home Modifications Contractor
372600000X
Adult Companion
374J00000X
Doula
376G00000X
Nursing Home Administrator
Primary

Other

Enumeration date
02/21/2023
Last updated
02/21/2023
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