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Individual

CARLY GONDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
555 GEO DR, PHILIPSBURG, PA 16866-8139
(814) 768-1200
Mailing address
190 PIKE LN, PHILIPSBURG, PA 16866-8823
(814) 574-3668

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA004936
PA

Other

Enumeration date
08/24/2019
Last updated
08/24/2019
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