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1265071914
MELISSA ANN O'BANION
ITHACA, NY
NPI
1265071914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 026223)
Enumeration Date
2019-12-29
Last Update Date
2022-01-07
Business Address
MELISSA ANN O'BANION
1780 HANSHAW RD
ITHACA, NY 14850-9105
Phone number: 607-257-5858
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Mailing Address
MELISSA ANN O'BANION
1780 HANSHAW RD
ITHACA, NY 14850-9105
Phone number: 607-257-5858
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