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1497080014
KAVITA MANGAT
SYRACUSE, NY
NPI
1497080014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 010729)
Enumeration Date
2009-10-15
Last Update Date
2009-11-24
Business Address
-- KAVITA MANGAT RPA-C
301 PROSPECT AVE CARDIO VASCULAR SURGERY
SYRACUSE, NY 13203
Phone number: 315-448-2713
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Mailing Address
-- KAVITA MANGAT RPA-C
770 JAMES ST APT 810
SYRACUSE, NY 13203-2629
Phone number:
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