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1104803964
GEORGE JOSEPH DEVITA
FORT DRUM, NY
NPI
1104803964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2005-12-22
Last Update Date
2007-07-08
Business Address
Mr. GEORGE JOSEPH DEVITA pa-c
11050 MOUNT BELVEDERE BLVD USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY 13602-5438
Phone number: 315-772-4025
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Mailing Address
Mr. GEORGE JOSEPH DEVITA pa-c
27082 WADDINGHAM RD
EVANS MILLS, NY 13637-3277
Phone number: 315-772-3225
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