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1184246472
SAMANTHA LEE KYVIK
MONROE, NY
NPI
1184246472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 025434)
Enumeration Date
2020-05-11
Last Update Date
2020-08-29
Business Address
SAMANTHA LEE KYVIK
147 LUDLAM RD
MONROE, NY 10950-4534
Phone number: 917-715-8978
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Mailing Address
SAMANTHA LEE KYVIK
147 LUDLAM RD
MONROE, NY 10950-4534
Phone number: 917-715-8978
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