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1205186152
CARRIE MICHAEL BUBENZER
PHILADELPHIA, PA
NPI
1205186152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 200579)
Enumeration Date
2012-09-18
Last Update Date
2024-08-16
Business Address
CARRIE MICHAEL BUBENZER PA-C
PO BOX 8500 LOCKBOX 7642
PHILADELPHIA, PA 19178-5682
Phone number: 318-226-3300
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Mailing Address
CARRIE MICHAEL BUBENZER PA-C
8731 PARK PLAZA DR
SHREVEPORT, LA 71105-5682
Phone number: 318-797-5848
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