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1417406398
ALYSSA G BOVALINO
ITHACA, NY
NPI
1417406398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 020196)
Enumeration Date
2016-10-03
Last Update Date
2016-11-04
Business Address
-- ALYSSA G BOVALINO PA-C
101 DATES DR
ITHACA, NY 14850-1342
Phone number: 315-480-8733
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Mailing Address
-- ALYSSA G BOVALINO PA-C
101 DATES DR
ITHACA, NY 14850-1342
Phone number: 315-698-1496
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