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Individual

CHRISTIE R TRAVELUTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 858, HERSHEY, PA 17033-0858
(800) 243-1455

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD071132L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018114790001
PA
Enumeration date
04/11/2006
Last updated
08/14/2012
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