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1104906726
MARY BUCKNAM
ITHACA, NY
NPI
1104906726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 0032601)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
-- MARY BUCKNAM P.A.
1301 TRUMANSBURG RD SUITE H
ITHACA, NY 14850-1397
Phone number: 607-272-6880
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Mailing Address
-- MARY BUCKNAM P.A.
1301 TRUMANSBURG RD SUITE H
ITHACA, NY 14850-1397
Phone number: 607-272-6880
Copy
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