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1194017772
JONATHAN THOMAS HUMPHREYS
POUGHKEEPSIE, NY
NPI
1194017772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 014578-1)
Enumeration Date
2011-05-13
Last Update Date
2011-05-13
Business Address
-- JONATHAN THOMAS HUMPHREYS RPA-C
45 READE PL
POUGHKEEPSIE, NY 12601-3947
Phone number: 845-721-6466
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Mailing Address
-- JONATHAN THOMAS HUMPHREYS RPA-C
78 MORNINGSIDE DR
PATTERSON, NY 12563-2308
Phone number: 845-721-6466
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