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1477950400
TABATHA JORGENSEN
SYRACUSE, NY
NPI
1477950400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 018386)
Enumeration Date
2014-11-19
Last Update Date
2021-03-12
Business Address
TABATHA JORGENSEN
736 IRVING AVE STE 340
SYRACUSE, NY 13210-1687
Phone number: 315-470-7747
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Mailing Address
TABATHA JORGENSEN
1001 W FAYETTE ST SUITE 400
SYRACUSE, NY 13204-2859
Phone number: 315-701-2550
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