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1639702772
MARK THOMAS GRUNERT
ALBANY, NY
NPI
1639702772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 024873)
Enumeration Date
2020-02-18
Last Update Date
2023-03-07
Business Address
MARK THOMAS GRUNERT PA-C
319 S MANNING BLVD
ALBANY, NY 12208-1742
Phone number: 518-438-1019
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Mailing Address
MARK THOMAS GRUNERT PA-C
PO BOX 14890
ALBANY, NY 12212-4890
Phone number: 518-525-5634
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