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1013191071
WAYNE JOSEPH BLAIR
BRONX, NY
NPI
1013191071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2007-12-26
Last Update Date
2007-12-26
Business Address
-- WAYNE JOSEPH BLAIR
THIRD AVENUE AND 183RD STREET
BRONX, NY 10457-2594
Phone number: 718-960-9000
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Mailing Address
-- WAYNE JOSEPH BLAIR
1319 E 222ND ST
BRONX, NY 10469-2601
Phone number: 718-654-6358
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