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JACQUELINE DENISE BOST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
4 SHERATON DR, ALTOONA, PA 16601-9316
(814) 949-2050
(814) 949-2051
Mailing address
302 WOOD ST, LILLY, PA 15938-5311
(814) 949-2050
(814) 949-2051

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
TE010381
PA

Other

Enumeration date
01/09/2015
Last updated
01/09/2015
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