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Case Number and Status

Case Number: I-200-17137-753517

Submitted on:

CERTIFIED

on:

Employment

From: 2017-10-15

To: 2020-10-14 (1,095 days)

Address

639 Main St.
Johnson City, NY 13790

Phone

6077701988


Attorney Summary

Location
Ithaca, NY

Job Summary

Job Title
Pediatrician
City and State
Johnson City, NY
County
Broome

Soc Code
29-1065.00
Naics Code
Industry Code
621111