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1528180080
MARY LOU DECKER
BUFFALO, NY
NPI
1528180080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 0003041-1)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
-- MARY LOU DECKER PA
964 DELAWARE AVE
BUFFALO, NY 14209-1806
Phone number: 716-863-0196
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Mailing Address
-- MARY LOU DECKER PA
964 DELAWARE AVE
BUFFALO, NY 14209-1806
Phone number: 716-863-0196
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