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1063988723
BRADLY LANTZ
VESTAL, NY
NPI
1063988723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-10-22
Last Update Date
2018-10-22
Business Address
BRADLY LANTZ PA
4417 VESTAL PKWY E
VESTAL, NY 13850-3556
Phone number: 607-729-2144
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Mailing Address
BRADLY LANTZ PA
33 LEWIS RD 2ND FL
BINGHAMTON, NY 13905
Phone number: 607-729-8156
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