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Individual

MISS GABRIELLE CATHERINE FEDORKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
1962 FIELDSTONE AVE, SUMMERHILL, PA 15958-3902
(814) 244-7445
Mailing address
1962 FIELDSTONE AVENUE, SUMMERHILL, PA 15958-7900
(814) 244-7445

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/05/2011
Last updated
01/05/2011
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