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1164996948
RYAN J BLACKWELL
COOPERSTOWN, NY
NPI
1164996948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 029977)
Enumeration Date
2019-01-15
Last Update Date
2025-11-19
Business Address
RYAN J BLACKWELL
1 ATWELL RD
COOPERSTOWN, NY 13326
Phone number: 607-547-3672
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Mailing Address
RYAN J BLACKWELL
1 ATWELL RD
COOPERSTOWN, NY 13326
Phone number: 607-547-3480
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