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Individual
SEAN JOSEPH LOVALLO
Active
Individual
SEAN JOSEPH LOVALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015389
NY
363A00000X
Physician Assistant
25MP00228500
NJ
363A00000X
Physician Assistant
Primary
PA9113427
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03497445
—
NY
Enumeration date
11/17/2009
Last updated
08/31/2022
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