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1306399407
RUTH ST.AUDE
MINEOLA, NY
NPI
1306399407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 019924)
Enumeration Date
2016-07-26
Last Update Date
2024-02-14
Business Address
RUTH ST.AUDE PA-C
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-1000
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Mailing Address
RUTH ST.AUDE PA-C
272 MILL RD
VALLEY STREAM, NY 11581-2936
Phone number: 917-402-1770
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