David A Vrba

BUSINESS ADDRESS:
404 RIDGE STREET
FREELAND HEALTH CENTER
Freeland, PA 182241805

ADDRESS & CONTACT INFORMATION

BUSINESS ADDRESS:	404 RIDGE STREET FREELAND HEALTH CENTER Freeland, PA 182241805
PHONE:	(570) 636-1010
FAX:	(570) 636-0985

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Name Prefix		Dr., Mr., Ms.
First Name		John
Middle Name		D., Joe
Last Name		Doe
Name Suffix		O.D.
Address		123 Streetname Ave.
Address Line 2		Suite 108
City		New York
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Postal Code		90210, 90210-1234
Phone		(213) 555-1234
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