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1629760855
SHANE GRAYSON
BUFFALO, NY
NPI
1629760855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 030442)
Enumeration Date
2023-05-25
Last Update Date
2023-08-16
Business Address
SHANE GRAYSON PA-C
34 BENWOOD AVE
BUFFALO, NY 14214-1761
Phone number: 716-986-9199
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Mailing Address
SHANE GRAYSON PA-C
1519 SUMMIT ST
WHITE OAK, PA 15131-1705
Phone number:
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