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1750005096
IAN GRIFFIN PRATOR
BETHLEHEM, PA
NPI
1750005096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA064041)
Enumeration Date
2022-09-29
Last Update Date
2022-09-29
Business Address
IAN GRIFFIN PRATOR PA-C
801 OSTRUM ST
BETHLEHEM, PA 18015-1000
Phone number: 866-785-8537
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Mailing Address
IAN GRIFFIN PRATOR PA-C
444 PHEASANT RD
SAYLORSBURG, PA 18353-8033
Phone number: 484-752-8170
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