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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

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