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1992129878
MIRANDA WADE
UTICA, NY
NPI
1992129878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2014-02-12
Last Update Date
2014-02-12
Business Address
-- MIRANDA WADE R-PA
2211 GENESEE ST
UTICA, NY 13501-5930
Phone number: 315-733-7598
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Mailing Address
-- MIRANDA WADE R-PA
2211 GENESEE ST
UTICA, NY 13501-5930
Phone number: 315-733-7598
Copy
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