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1083103642
LUCAS KNEWSTUB
ITHACA, NY
NPI
1083103642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NY 308462)
Enumeration Date
2018-05-08
Last Update Date
2021-08-04
Business Address
LUCAS KNEWSTUB
101 DATES DR
ITHACA, NY 14850-1383
Phone number: 607-274-4011
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Mailing Address
LUCAS KNEWSTUB
101 DATES DR
ITHACA, NY 14850-1342
Phone number:
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