Individual
MRS. GWENDOLYN M. DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 BLACKHORSE HILL RD, COATESVILLE, PA 19320-2040
(610) 384-7711
Mailing address
132 AUTUMN TRL, COATESVILLE, PA 19320-1667
(610) 857-5015
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA000094L
PA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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