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1568401875
BRANT FORD
SYRACUSE, NY
NPI
1568401875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 001840)
Enumeration Date
2006-06-05
Last Update Date
2013-08-27
Business Address
-- BRANT FORD PA
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-4550
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Mailing Address
-- BRANT FORD PA
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-4550
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