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1003039975
JEROME ALFRED DAVIS
PLATTSBURGH, NY
NPI
1003039975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 60-100430)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
Dr. JEROME ALFRED DAVIS M.D.
101 BROAD ST
PLATTSBURGH, NY 12901-2637
Phone number: 518-564-2187
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Mailing Address
Dr. JEROME ALFRED DAVIS M.D.
52 COOPER DR
PLATTSBURGH, NY 12901-5302
Phone number: 518-561-4791
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