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Individual

ANGELA CARMELA BURRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.S.

Contact information

Practice address
190 BONAR AVE, WAYNESBURG, PA 15370-1604
(724) 627-8156
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007288440004
PA
05
328834A336348
PA
Enumeration date
11/23/2005
Last updated
04/02/2008
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