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1467445650
SCOTT GREGORY CHANNELS
SYRACUSE, NY
NPI
1467445650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 005049)
Enumeration Date
2005-08-24
Last Update Date
2007-07-08
Business Address
Mr. SCOTT GREGORY CHANNELS RPA
301 PROSPECT AVE
SYRACUSE, NY 13203-1807
Phone number: 315-448-5274
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Mailing Address
Mr. SCOTT GREGORY CHANNELS RPA
4567 CROSSROADS PARK DR 2ND FL
LIVERPOOL, NY 13088-3589
Phone number:
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