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Individual

JOSHUA WILKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
718 S. STATE STREET, CLARKS SUMMIT, PA 18411-2607
(570) 586-2222
Mailing address
718 S. STATE STREET, CLARKS SUMMIT, PA 18411-2607
(570) 586-2222

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT022256
PA

Other

Enumeration date
09/12/2012
Last updated
09/12/2012
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