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Gracey Mae Eden
Student in an Organized Health Care Education/Training Program in Bangor, Pennsylvania
NPI 1639634785

Gracey Mae Eden is a Student in an Organized Health Care Education/Training Program based in Bangor, PA. Gracey Mae Eden practices in Bangor, PA. The NPI Number for Gracey Mae Eden is 1639634785 and holds a License No. (Pennsylvania).

The current practice location address for Gracey Mae Eden is 712 Laurel Hill Rd, Bangor, PA and can be reached out via phone at 520-343-8221.

Location: 712 Laurel Hill Rd, Bangor, PA, 18013-5564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639634785
Provider Name
Gracey Mae Eden
Credential
Provider Entity Type
Individual
Gender
Female
Address
712 Laurel Hill Rd, Bangor, PA, 18013-5564
Phone Number
520-343-8221
Fax Number
Provider Enumeration Date
02/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
712 Laurel Hill Rd
City
Bangor
State
Pennsylvania
Zip
18013-5564
Phone Number
520-343-8221
Fax Number
person
Provider Business Mailing Address Details
Address
712 Laurel Hill Rd
City
Bangor
State
Pennsylvania
Zip
18013-5564
Phone Number
520-343-8221
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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