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1205860798
MAYNARD A. SHUMWAY
UTICA, NY
NPI
1205860798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 001412)
Enumeration Date
2006-07-10
Last Update Date
2014-07-23
Business Address
-- MAYNARD A. SHUMWAY PA-C
110 LOMOND CT
UTICA, NY 13502-5950
Phone number: 315-292-1264
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Mailing Address
-- MAYNARD A. SHUMWAY PA-C
601 GATES RD STE 3
VESTAL, NY 13850
Phone number: 607-584-7385
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