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1952142366
DAVID BASKERVILLE
WILLIAMSVILLE, NY
NPI
1952142366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 032085)
Enumeration Date
2024-06-03
Last Update Date
2024-07-24
Business Address
DAVID BASKERVILLE
40 GEORGE KARL BLVD
WILLIAMSVILLE, NY 14221-7183
Phone number: 716-218-1000
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Mailing Address
DAVID BASKERVILLE
40 GEORGE KARL BLVD
WILLIAMSVILLE, NY 14221-7183
Phone number: 716-218-1000
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