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1922582899
EMMA WALLACE
COOPERSTOWN, NY
NPI
1922582899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
EMMA WALLACE
1 ATWELL RD
COOPERSTOWN, NY 13326-1301
Phone number: 607-547-3456
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Mailing Address
EMMA WALLACE
1 ATWELL RD
COOPERSTOWN, NY 13326-1301
Phone number:
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