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GERALD E. HOUSEKNECHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
71 LOVELL LN, GLENMOORE, PA 19343-1821
(610) 942-8940
Mailing address
71 LOVELL LN, GLENMOORE, PA 19343-1821

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN316392L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
050097
PA

Other

Enumeration date
09/20/2005
Last updated
04/27/2010
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