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Physician Records
Physician Last Name
Physician First Name
Physician Middle Name
License Number
License Type
Effective Date
Date Updated
Year of Birth
Gonzalez
Enrique
009346
PA
07/06/2021
06/30/2021
1970
Trotta
Eugene
T.
002925
PA
06/25/2021
06/18/2021
1948
Trotta
Eugene
T.
002925
PA
06/25/2021
06/18/2021
1948
Krueger
Lance
S.
003160
PA
06/22/2021
06/15/2021
1958
Dunphy
Daniel
J.
001437
PA
06/14/2021
06/07/2021
1948
Hernandez
Nicole
014714
PA
06/01/2021
06/03/2021
1985
Parker
Stefanie
022842
PA
05/28/2021
05/24/2021
1983
Martin
Robert
Michael
005644
PA
05/26/2021
05/19/2021
1950
Alleva
Christopher
020425
PA
05/11/2021
05/04/2021
1983
Neyra
Carlos
R.
013299
PA
03/26/2021
04/28/2021
1982
Allard
Raymond
001373
PA
04/15/2021
04/08/2021
1950
Stefan
Charles
P.
008634
PA
03/30/2021
03/31/2021
1965
Simmons
Ronald
E.
000499
PA
03/01/2021
02/22/2021
1946
Billings
Christine
Elizabeth
017847
PA
02/16/2021
02/09/2021
1988
Migliorini
Michael
Joseph
018398
PA
02/15/2021
02/08/2021
1991
Goodwin
Aimee
006601
PA
02/04/2021
01/28/2021
1976
Fague
Carol
Diane
013304
PA
01/11/2021
01/04/2021
1982
Perkins
Anne
L.
010353
PA
01/05/2021
12/29/2020
1979
Richardson
Steven
023440
PA
12/16/2020
12/09/2020
1980
Anderson
Tasha
Monique
013877
PA
12/08/2020
12/01/2020
1984
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