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JUNE SUPEY RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1881819654

Individual Registrant:
 JUNE  SUPEY RN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
15 PUBLIC SQ SUITE312 WILKES BARRE, PA 18701-1702 US
Tel: 570-826-1777  Fax: 570-823-3040

Contact information for business:
15 PUBLIC SQ SUITE 600 WILKES BARRE, PA 18701-1702 US
Tel: 570-826-1777  Fax: 570-823-3040

Registration Information:
NPI: 1881819654
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
PARN137197L

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1015827080003PA05
GROUP NUMBER1007678420038PA01




HEALTH CARE JOBS PA - Page 1



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