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1255389250
KARLA BRANTUK
RIVERHEAD, NY
NPI
1255389250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 009559)
Enumeration Date
2006-05-04
Last Update Date
2017-02-07
Business Address
KARLA BRANTUK PA
951 ROANOKE AVE
RIVERHEAD, NY 11901-2724
Phone number: 631-369-5005
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Mailing Address
KARLA BRANTUK PA
951 ROANOKE AVE
RIVERHEAD, NY 11901-2724
Phone number: 631-369-5005
Copy
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