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Individual

MRS. SHARON J. WARDROP

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
C.M.F.

Contact information

Practice address
102 ZEE PLZ, HOLLIDAYSBURG, PA 16648-1003
(814) 693-9200
(814) 693-9281
Mailing address
102 ZEE PLZ, HOLLIDAYSBURG, PA 16648-1003
(814) 693-9200
(814) 693-9281

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01829160
PA
01
1537724
UNITED MINE WORKERS ASSOC
PA
01
297343
BC/BS SUPPLIER #
PA
01
310357
UMPC PROVIDER #
PA
Enumeration date
07/15/2005
Last updated
07/09/2007
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