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1073081824
SAMANTHA JOSEPHINE OTIS
SYRACUSE, NY
NPI
1073081824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 022989)
Enumeration Date
2018-11-09
Last Update Date
2018-11-09
Business Address
Ms. SAMANTHA JOSEPHINE OTIS PA-C
301 PROSPECT AVE
SYRACUSE, NY 13203-1899
Phone number: 315-448-5111
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Mailing Address
Ms. SAMANTHA JOSEPHINE OTIS PA-C
121 CRYSTAL DR
NORTH SYRACUSE, NY 13212-2731
Phone number: 315-243-1020
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