Provider Information for 1740249820
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LORETTA A GEPHART MA
Sex: Female
NPI: 1740249820
Last Updated: 2016-08-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1740249820 | ||||||||
| Enumeration Date | 2006-03-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 10475 PERRY HWY STE 300 WEXFORD, PA 15090-9213 United States Phone: 724-759-7514 | Fax:724-759-7600 | ||||||||
| Primary Practice Address | 10475 PERRY HWY STE 300 WEXFORD, PA 15090-9213 United States Phone: 724-759-7514 | Fax:724-759-7600 | ||||||||
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