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Individual

JUSTON WOLGEMUTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1525 OREGON PIKE, LANCASTER, PA 17601-4372
(717) 405-0554
Mailing address
1376 LANDIS RD, ELIZABETHTOWN, PA 17022-9777

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC001126
PA
101Y00000X
Counselor
Primary
PC020297
PA

Other

Enumeration date
08/02/2025
Last updated
04/24/2026
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