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1104151612
THERESA SPRUILL
SUFFERN, NY
NPI
1104151612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 003325)
Enumeration Date
2009-10-16
Last Update Date
2009-10-16
Business Address
-- THERESA SPRUILL RPA-C
255 LAFAYETTE AVE
SUFFERN, NY 10901-4812
Phone number: 845-368-5000
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Mailing Address
-- THERESA SPRUILL RPA-C
484 TEMPLE HILL RD STE 104
NEW WINDSOR, NY 12553-5557
Phone number: 845-565-3700
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