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1346723012
BIVOR SHRESTHA
FORT DRUM, NY
NPI
1346723012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-09-10
Last Update Date
2023-08-11
Business Address
BIVOR SHRESTHA APA
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 315-772-5505
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Mailing Address
BIVOR SHRESTHA APA
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 315-772-5505
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