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Individual

VIRGINIA ANN MALKOSKIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
9300 STATE ROUTE 61, COAL TOWNSHIP, PA 17866-4178
(570) 648-8888
(570) 648-8999
Mailing address
9300 STATE ROUTE 61, COAL TOWNSHIP, PA 17866-4178
(578) 648-8888
(570) 648-8999

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE007917T
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
U75884
UPIN
PA
Enumeration date
05/23/2006
Last updated
08/14/2015
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