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Individual
MARY DONOHUE
Active
Individual
MARY DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSCIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0167861
NY
363A00000X
Physician Assistant
Primary
PA9110143
FL
363AM0700X
Medical Physician Assistant
0167861
NY
Other
Enumeration date
01/31/2015
Last updated
06/25/2020
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