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1316296205
SOUTHERN TIER SURGICAL PLLC
JOHNSON CITY, NY
NPI
1316296205
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Entity Type
Organization
Authorized Contact
CHRISTIAN TVETENSTRAND
Surgeon
607-763-8205
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NY 178438)
Enumeration Date
2012-09-06
Last Update Date
2013-02-11
Business Address
SOUTHERN TIER SURGICAL PLLC
30 HARRISON STREET SUITE 320
JOHNSON CITY, NY 13790-2162
Phone number: 607-763-8205
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Mailing Address
SOUTHERN TIER SURGICAL PLLC
30 HARRISON STREET SUITE 320
JOHNSON CITY, NY 13790-2162
Phone number: 607-763-8205
Copy
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