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1093081556
SHELLA DARGOUT
BUFFALO, NY
NPI
1093081556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 015538)
Enumeration Date
2012-03-29
Last Update Date
2014-03-13
Business Address
-- SHELLA DARGOUT PA
100 HIGH ST
BUFFALO, NY 14203
Phone number: 716-691-8838
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Mailing Address
-- SHELLA DARGOUT PA
6 FOUNTAIN PLZ
BUFFALO, NY 14202-2211
Phone number: 585-944-6138
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