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Individual

JONATHAN RYAN MCCULLOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
211 N 18TH AVE, NEW BRIGHTON, PA 15066-1009
(412) 758-2090
Mailing address
211 N 18TH AVE, NEW BRIGHTON, PA 15066-1009
(412) 758-2090

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PA

Other

Enumeration date
04/04/2023
Last updated
04/04/2023
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