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1134109077
WAYNE C GRAVELL
TROY, NY
NPI
1134109077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2006-01-18
Last Update Date
2008-06-05
Business Address
Mr. WAYNE C GRAVELL RPAC
2215 BURDETT AVE
TROY, NY 12180-2466
Phone number: 518-271-3311
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Mailing Address
Mr. WAYNE C GRAVELL RPAC
2215 BURDETT AVE
TROY, NY 12180-2466
Phone number: 518-271-3311
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