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1932196284
JOHN WACENDAK
JOHNSON CITY, NY
NPI
1932196284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 194762)
Enumeration Date
2005-10-03
Last Update Date
2011-11-19
Business Address
-- JOHN WACENDAK MD
40 ARCH ST
JOHNSON CITY, NY 13790-2102
Phone number: 607-763-6075
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Mailing Address
-- JOHN WACENDAK MD
346 GRAND AVE
JOHNSON CITY, NY 13790-2558
Phone number: 607-770-0025
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