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1114369089
KATIE L MADDEN
JAMESTOWN, NY
NPI
1114369089
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Former Name
KATIE INGERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 016751)
Enumeration Date
2013-07-22
Last Update Date
2014-10-13
Business Address
-- KATIE L MADDEN PA-C
320 PRATHER AVE SUITE 100, 200, & 400
JAMESTOWN, NY 14701-6820
Phone number: 716-338-0022
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Mailing Address
-- KATIE L MADDEN PA-C
95 E CHAUTAUQUA ST
MAYVILLE, NY 14757-1017
Phone number: 716-753-7107
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