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1770832909
KEITH EDWARD SHULTS
SYRACUSE, NY
NPI
1770832909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2012-09-04
Last Update Date
2013-05-31
Business Address
Mr. KEITH EDWARD SHULTS RPA
301 PROSPECT AVE
SYRACUSE, NY 13203-1807
Phone number: 315-448-5111
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Mailing Address
Mr. KEITH EDWARD SHULTS RPA
104 UNION AVE SUITE 804
SYRACUSE, NY 13203-1843
Phone number: 315-703-5049
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