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1053939009
GRACE LEE MAGAHA
ALTOONA, PA
NPI
1053939009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA061673)
Enumeration Date
2020-07-07
Last Update Date
2021-11-08
Business Address
GRACE LEE MAGAHA
1224 7TH AVE
ALTOONA, PA 16602-2402
Phone number: 814-944-8784
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Mailing Address
GRACE LEE MAGAHA
229 HILLSIDE AVE
ALTOONA, PA 16601-7722
Phone number: 814-215-3313
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