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1720668957
LYNN J VATTATHARA
ELMIRA, NY
NPI
1720668957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-12
Last Update Date
2021-05-28
Business Address
LYNN J VATTATHARA MD
200 MADISON AVE
ELMIRA, NY 14901-3218
Phone number: 607-795-8035
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Mailing Address
LYNN J VATTATHARA MD
200 MADISON AVE
ELMIRA, NY 14901-3218
Phone number: 636-272-3343
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