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1891214391
FABIO DEOLIVEIRA
MINEOLA, NY
NPI
1891214391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 021304)
Enumeration Date
2017-09-15
Last Update Date
2017-09-19
Business Address
FABIO DEOLIVEIRA PA-C
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-0333
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Mailing Address
FABIO DEOLIVEIRA PA-C
155 JACKSON AVE
MINEOLA, NY 11501-2423
Phone number:
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