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1659023059
MARLAINA J BUSH
SYRACUSE, NY
NPI
1659023059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 02933401)
Enumeration Date
2022-01-26
Last Update Date
2022-11-18
Business Address
Miss MARLAINA J BUSH PA-C
101 PINE ST
SYRACUSE, NY 13210-1149
Phone number: 315-422-8105
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Mailing Address
Miss MARLAINA J BUSH PA-C
101 PINE ST
SYRACUSE, NY 13210-1181
Phone number: 315-422-8105
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