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NPI Profile for JONATHAN T PETROLE in TRESCKOW, PA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1285125575 |
|
| Status | Active | |
| Credentials | M.S., LPC | |
| Entity | Individual | |
| Enumeration date | 05/23/2018 | |
| Last updated | 02/11/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JONATHAN T PETROLE
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