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Individual

JENNA OSWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
870 GORDON NAGLE TRL STE 100, POTTSVILLE, PA 17901-4203
(570) 399-5554
(570) 399-5578
Mailing address
337 PROSPECT ST, POTTSVILLE, PA 17901-1221
(570) 691-8749

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA058990
PA
363A00000X
Physician Assistant
Primary
OA004183
PA
363A00000X
Physician Assistant

Other

Enumeration date
10/06/2017
Last updated
06/13/2024
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