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Individual

MARIANO DULAY LOVERANES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
706 WORTH ST, CORRY, PA 16407-8517
(814) 664-2666
(814) 664-8931
Mailing address
706 WORTH ST, 13466 ROUTE 6, CORRY, PA 16407-8517
(814) 664-2666
(814) 664-8931

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
AL 9368792
PA
208600000X
Surgery Physician
Primary
AL 9368792
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0872685
PA
Enumeration date
08/22/2005
Last updated
02/26/2010
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