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Individual

DAVID REYNOSO CORTEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-4950
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT-227777
PA

Other

Enumeration date
06/23/2023
Last updated
06/23/2023
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