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Doctors / PA
NURSE PRACTITIONER
Graduated: 2020
Offers telehealth
NPI: 1972185569
CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA LLC
100 N WILKES BARRE BLVD, SUITE 103
WILKES BARRE, PA 187025240
4135842173
Source: CMS National Downloadable File, September 2026.