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Individual

DR. LARISSA MARIE GASPARATO CLAYTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
503 N 21ST ST, CAMPHILL, PA 17401-3349
(717) 972-4300
Mailing address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 972-4300

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS015268
PA
207P00000X
Emergency Medicine Physician
OT012563
PA

Other

Enumeration date
07/24/2008
Last updated
10/05/2012
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