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1235829961
AUTUMN SKYE CHILDERS
SPRINGVILLE, UT
NPI
1235829961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 032655)
Enumeration Date
2023-05-08
Last Update Date
2024-10-25
Business Address
AUTUMN SKYE CHILDERS PA-C
444 S 625 W UNIT 6
SPRINGVILLE, UT 84663-3314
Phone number: 623-810-0004
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Mailing Address
AUTUMN SKYE CHILDERS PA-C
1 ATWELL RD
COOPERSTOWN, NY 13326-1394
Phone number: 607-547-3456
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