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1417547555
BRENT DEMANBY
NEW YORK, NY
NPI
1417547555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 1180085)
Enumeration Date
2021-01-22
Last Update Date
2021-01-22
Business Address
BRENT DEMANBY PA-C
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-5454
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Mailing Address
BRENT DEMANBY PA-C
2060 JUBILANT AVE
MEDFORD, OR 97504-4756
Phone number: 541-840-9716
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