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1417799156
COLIN EVAN DEANGELIS
WEST SENECA, NY
NPI
1417799156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-06-12
Last Update Date
2024-06-12
Business Address
COLIN EVAN DEANGELIS
1026 UNION RD
WEST SENECA, NY 14224-3445
Phone number: 716-712-0851
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Mailing Address
COLIN EVAN DEANGELIS
1026 UNION RD
WEST SENECA, NY 14224-3445
Phone number: 716-712-0851
Copy
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