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1619386570
MAGDALENA TIBETT
WEST ISLIP, NY
NPI
1619386570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 017830)
Enumeration Date
2014-08-05
Last Update Date
2014-12-30
Business Address
-- MAGDALENA TIBETT
1111 MONTAUK HWY SUITE 3-1
WEST ISLIP, NY 11795-4910
Phone number: 631-669-1171
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Mailing Address
-- MAGDALENA TIBETT
1111 MONTAUK HIGHWAY SUITE 3-1
WEST ISLIP, NY 11795-4910
Phone number: 631-669-1171
Copy
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