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1194400135
AMELIA ELIZABETH WOOTTON
NEW YORK, NY
NPI
1194400135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 030018)
Enumeration Date
2023-06-19
Last Update Date
2023-06-19
Business Address
AMELIA ELIZABETH WOOTTON PA-C
630 W 168TH ST
NEW YORK, NY 10032-3725
Phone number: 212-305-2500
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Mailing Address
AMELIA ELIZABETH WOOTTON PA-C
21 COUNTRY WAY
BETHEL, CT 06801-2935
Phone number:
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