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1346359981
RUPERT E EVANS
NEW HYDE PARK, NY
NPI
1346359981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 010204)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
-- RUPERT E EVANS PA
27005 76TH AVE
NEW HYDE PARK, NY 11040-1433
Phone number: 718-470-7211
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Mailing Address
-- RUPERT E EVANS PA
175 COMMUNITY DR
GREAT NECK, NY 11021-5502
Phone number: 516-465-1900
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