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Individual

AMY CIBOROSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
815 LINK ST, DICKSON CITY, PA 18519-1228
(570) 487-1572
Mailing address
815 LINK ST, DICKSON CITY, PA 18519-1228
(570) 487-1572

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN258179L
PA

Other

Enumeration date
05/28/2013
Last updated
05/28/2013
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