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1548712078
PHILLIP DANDRIDGE
FORT DRUM, NY
NPI
1548712078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 1138785)
Enumeration Date
2016-11-01
Last Update Date
2016-11-01
Business Address
-- PHILLIP DANDRIDGE PA-C
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 706-833-3495
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Mailing Address
-- PHILLIP DANDRIDGE PA-C
11050 MOUNT BELVEDERE BLVD 5870B WILLIAMSON LOOP
FORT DRUM, NY 13602-5438
Phone number: 706-833-3495
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