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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
Diab
John
011783
PA
07/16/2010
07/13/2010
1959
Batheja
Neha
007948
PA
07/02/2010
06/25/2010
1977
Reyes
Jeffrey
009420
PA
05/31/2010
05/25/2010
1981
Bessett
Daniel
C
000928
PA
05/05/2010
04/28/2010
1950
Moody
Thomas
U
009271
PA
03/25/2010
03/26/2010
1971
Hand
Ryan
Keith
008167
PA
03/23/2010
03/16/2010
1979
Welton
Vivian
003343
PA
02/16/2010
02/11/2010
1950
Frederick
Mark
D
007400
PA
02/04/2010
01/29/2010
1969
Blair
Kevin
009958
PA
01/20/2010
01/13/2010
1966
Nanez-Hoyos
Alberto
P39729
PA
01/14/2010
01/11/2010
1962
Wallentin
Melissa
Ann
011550
PA
01/12/2010
01/05/2010
1979
Peede
Melissa
Ann
011550
PA
01/12/2010
01/05/2010
1979
Macomber
Robert
001681
PA
11/30/2009
11/23/2009
1952
Francis
Michael
George
009745
PA
10/01/2009
09/24/2009
1969
Shamalov
Gennadiy
008219
PA
08/26/2009
08/19/2009
1977
Clarke
Theresa
Sharon
005857
PA
08/05/2009
07/29/2009
1959
McGee
Kelly
009715
PA
07/23/2009
07/17/2009
1978
Ripley
Kenneth
D
000206
PA
07/17/2009
07/10/2009
1949
Pospiech
Edward
F
000316
PA
06/19/2009
06/12/2009
1944
Delliquadri
Laura
004543
PA
06/18/2009
06/11/2009
1969
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