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1720062896
REBECCA GRANDY BROWN
SYRACUSE, NY
NPI
1720062896
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Former Name
REBECCA SUZANNE GRANDY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 008131-1)
Enumeration Date
2005-12-02
Last Update Date
2011-08-22
Business Address
-- REBECCA GRANDY BROWN PA
301 PROSPECT AVE CLINICAL AFFILIATES
SYRACUSE, NY 13203-1807
Phone number: 315-448-2876
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Mailing Address
-- REBECCA GRANDY BROWN PA
301 PROSPECT AVE CLINICAL AFFILIATES
SYRACUSE, NY 13203-1807
Phone number: 315-448-2876
Copy
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