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1295843852
JACK E. REDDING
WEST COXSACKIE, NY
NPI
1295843852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9100926)
Enumeration Date
2006-08-25
Last Update Date
2015-03-27
Business Address
-- JACK E. REDDING PA-C
11835 RT 9W
WEST COXSACKIE, NY 12192-3605
Phone number: 518-731-9000
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Mailing Address
-- JACK E. REDDING PA-C
60 MARTINS HILL RD
RAVENA, NY 12143-2809
Phone number: 518-694-2965
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