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Individual

MR. DANTE C. MOLINO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
300 AVENUE A, SWOYERSVILLE, PA 18704-1911
(570) 283-3835
(579) 283-3805
Mailing address
300 AVENUE A, SWOYERSVILLE, PA 18704-1911
(570) 283-3835
(579) 283-3805

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011636190003
PA
01
206119
BLUE CROSS
01
44592
GEISINGER HP
Enumeration date
07/08/2005
Last updated
07/08/2007
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