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1407147838
CHRISTINE LYNN DIVITA-MCKENNA
WILLIAMSVILLE, NY
NPI
1407147838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 014729)
Enumeration Date
2011-04-19
Last Update Date
2016-10-25
Business Address
Miss CHRISTINE LYNN DIVITA-MCKENNA RPAC
1150 YOUNGS RD SUITE 104
WILLIAMSVILLE, NY 14221-8053
Phone number: 716-636-7979
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Mailing Address
Miss CHRISTINE LYNN DIVITA-MCKENNA RPAC
1150 YOUNGS RD SUITE 104
WILLIAMSVILLE, NY 14221-8053
Phone number: 716-636-7979
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