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1194743294
JOHN E. MITCHNER
BAY SHORE, NY
NPI
1194743294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 000111)
Enumeration Date
2006-07-17
Last Update Date
2007-10-09
Business Address
Mr. JOHN E. MITCHNER PA
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
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Mailing Address
Mr. JOHN E. MITCHNER PA
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
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