Registry details
Type
Individual
Primary specialty
Physician Assistant, Surgical
Enumerated
May 18, 2006
License(s)
011062 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 132 NORTH ST | Auburn, NY 13021-1829 | 315-258-8282 |
| LOCATION | 132 NORTH ST | Auburn, NY 13021-1829 | 315-258-8282 |
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