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1659456028
MARK DOMINIC STANCOMBE
CUBA, NY
NPI
1659456028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 23-011590)
Enumeration Date
2006-10-26
Last Update Date
2009-05-12
Business Address
-- MARK DOMINIC STANCOMBE RPA-C
140 W MAIN ST
CUBA, NY 14727-1317
Phone number: 585-968-2000
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Mailing Address
-- MARK DOMINIC STANCOMBE RPA-C
213 W SUMMIT ST
LAKEWOOD, NY 14750-1045
Phone number: 716-763-1837
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