TARA LOUISE EDMISTON

OLEAN, NY
NPI1396945374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  P58386)
Enumeration Date2007-07-19
Last Update Date2007-07-19
Business Address
-- TARA LOUISE EDMISTON PA
515 MAIN ST
OLEAN, NY 14760-1513
Phone number: 716-817-2938
Mailing Address
-- TARA LOUISE EDMISTON PA
PO BOX 3398
BUFFALO, NY 14240-3398
Phone number: 716-692-3302
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