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1336518398
JUANITA FUENTES
UTICA, NY
NPI
1336518398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2015-09-21
Last Update Date
2015-09-21
Business Address
-- JUANITA FUENTES PA-C
1656 CHAMPLIN AVE
UTICA, NY 13502-4830
Phone number: 315-624-6000
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Mailing Address
-- JUANITA FUENTES PA-C
1909 BRADFORD AVE
UTICA, NY 13501-5603
Phone number: 315-542-6742
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