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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
Eustaquio
Edwin
S
004635
PA
02/22/2001
03/05/2002
1963
Hickman
James
M
004171
PA
01/25/2002
01/27/2002
1959
Jadoo
Maclean
004700
PA
11/06/2001
11/14/2001
1948
Murray
Theodore
R
004208
PA
10/11/2001
10/15/2001
1948
Mendelsohn
Deborah
006093
PA
08/11/2006
09/13/2001
1967
Campbell
Louie
Keith
003579
PA
05/07/2001
07/12/2001
1951
Montfort
Nephtali
003421
PA
06/11/2001
06/20/2001
1951
Dunphy
Daniel
J.
001437
PA
03/11/1996
03/11/1996
1948
Willette
Regina
003588
PA
09/10/1997
Wein
Roy
B
004721
PA
04/24/1997
Ordoqui
Modesto
V
000582
PA
08/23/2001
1951
Wilson
Doyle
Clarence
000024
PA
05/12/1999
1940
Williams
Charles
T
000526
PA
01/28/1998
Younger
David
L
000159
PA
06/19/1998
1945
Judkins
Arnie
000238
PA
08/18/2000
1942
Ortiz
Luis
A
001020
PA
05/01/1995
Lau
Karen
001554
PA
09/29/1997
Narcisse
Francis
003555
PA
09/20/1995
Manenkoff
Robert
000474
PA
06/19/1998
1950
Kelley
Shannon
T
003782
PA
10/07/1996
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