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1124129119
TALLY EDWARD LASSITER
ONEONTA, NY
NPI
1124129119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: NY 256321)
Enumeration Date
2006-09-25
Last Update Date
2012-06-12
Business Address
-- TALLY EDWARD LASSITER MD
1 ASSOCIATE DR
ONEONTA, NY 13820-2266
Phone number: 607-433-6314
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Mailing Address
-- TALLY EDWARD LASSITER MD
PO BOX 725
COOPERSTOWN, NY 13326-0725
Phone number: 607-433-6314
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