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Michelle L Zuba
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NPI Number Detailed Information
Provider Information:
| Name: | Michelle L Zuba |
| Gender: | F |
| Provider License Number If Given: | OS014938 |
NPI Information:
| NPI: | 1336134899 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 10/9/2009 |
Provider Business Mailing Address:
| Address: | 1629 UNION AVE SUITE 4 Natrona Heights, PA 15065 |
| Phone Number: | 7242267415 |
| Fax Number: | 7242267109 |
Provider Business Practice Location Address:
| Address: | 1629 UNION AVE SUITE 4 Natrona Heights, PA 15065 |
| Phone Number: | 7242267415 |
| Fax Number: | 7242267109 |
Provider Taxonomy:
| Primary: | 208600000X |
| Secondary (if any): | 208600000X |
| State: | PA |
