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1669462370
MICHELINA SUNDBERG
RIVERHEAD, NY
NPI
1669462370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 008222)
Enumeration Date
2005-10-24
Last Update Date
2021-04-02
Business Address
Mrs. MICHELINA SUNDBERG PA
951 ROANOKE AVE
RIVERHEAD, NY 11901-2724
Phone number: 631-369-5005
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Mailing Address
Mrs. MICHELINA SUNDBERG PA
951 ROANOKE AVE
RIVERHEAD, NY 11901-2724
Phone number: 631-369-5005
Copy
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