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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
Houthuysen
Todd
004550
PA
04/04/1995
Jackson
William
Andrew
005302
PA
10/20/1998
1967
Hamilton
Timothy
John
001589
PA
11/13/1995
Grushko
Aaron
000753
PA
08/22/1994
Gorski
Karen
001982
PA
05/26/1999
1957
Harry
Fred
Albert
005377
PA
04/12/2000
1966
Fogel
Paul
S
000056
PA
12/26/1997
Gleim
Scott
001610
PA
03/17/1997
Gelpi
Angelo
000233
PA
03/21/2000
1941
Ferns
Melville
003637
PA
01/03/1995
Despen
Daniel
001042
PA
03/12/1998
1941
Dimaio
Paul
002645
PA
09/02/1999
1953
Divito
Michael
V
005032
PA
12/08/1998
1970
Famolaro
John
003401
PA
07/10/1996
Faulknor
Hervel
000361
PA
07/05/1994
Engelberg
Steven
005623
PA
01/05/2001
1955
Daniels
Frank
A
004227
PA
07/09/1999
1958
Danke
Peter
John
004909
PA
04/25/2001
1966
Dawson
John
000230
PA
03/21/1994
Claire
Mitchell
D
002410
PA
05/12/1998
1954
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