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1013011006
MAURICE A RACINE
CHAMPLAIN, NY
NPI
1013011006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 139080)
Enumeration Date
2006-09-11
Last Update Date
2022-04-04
Business Address
MAURICE A RACINE MD
828 STATE ROUTE 11
CHAMPLAIN, NY 12919-4966
Phone number: 518-298-2691
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Mailing Address
MAURICE A RACINE MD
9 CAREY RD
QUEENSBURY, NY 12804-7880
Phone number: 518-761-0300
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