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1003807736
DIANE I LEGENDRE
CORNING, NY
NPI
1003807736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 006379-1)
Enumeration Date
2005-11-02
Last Update Date
2021-03-11
Business Address
DIANE I LEGENDRE PhD, RPAC
130 CENTER WAY
CORNING, NY 14830-2255
Phone number: 607-936-9971
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Mailing Address
DIANE I LEGENDRE PhD, RPAC
1 GUTHRIE SQ
SAYRE, PA 18840-1625
Phone number: 570-888-5858
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