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Individual

JENYNE MARIE PODLINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
700 E BROAD ST, HAZLETON, PA 18201-6835
(570) 501-4193
(570) 501-4109
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054152
PA

Other

Enumeration date
10/30/2009
Last updated
04/19/2011
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