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1891205043
QUENTIN LAWRENCE ARCHER
SYRACUSE, NY
NPI
1891205043
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Former Name
QUENTIN DOUGLAS MARTIN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 021466)
Enumeration Date
2017-10-02
Last Update Date
2017-10-02
Business Address
QUENTIN LAWRENCE ARCHER PAC
725 IRVING AVE
SYRACUSE, NY 13210-1603
Phone number: 315-464-9360
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Mailing Address
QUENTIN LAWRENCE ARCHER PAC
120 GRAY AVE APT 3C
SYRACUSE, NY 13203-1416
Phone number: 612-703-1266
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