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1417947631
MARY SUJANA KANTHARAJ
JOHNSON CITY, NY
NPI
1417947631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 009664)
Enumeration Date
2005-10-27
Last Update Date
2007-07-09
Business Address
Ms. MARY SUJANA KANTHARAJ RPA-C
15 RIVERSIDE DR
JOHNSON CITY, NY 13790-2742
Phone number: 607-770-9050
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Mailing Address
Ms. MARY SUJANA KANTHARAJ RPA-C
15 RIVERSIDE DR
JOHNSON CITY, NY 13790-2742
Phone number: 607-770-9050
Copy
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