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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
Neyra
Carlos
R.
013299
PA
03/26/2021
04/28/2021
1982
Medvedovsky
Andrew
267843
MD
02/23/2021
02/16/2021
1982
Fague
Carol
Diane
013304
PA
01/11/2021
01/04/2021
1982
Jamil
Kevin
G.
282224
MD
11/04/2020
10/28/2020
1982
Sison
Corinna
275870
MD
10/14/2020
10/08/2020
1982
Blohm
Eike
293015
MD
08/18/2020
08/11/2020
1982
Rodriguez
Jairo
012535
PA
05/20/2020
05/13/2020
1982
Defreitas
Ingrid
010128
PA
06/14/2019
06/07/2019
1982
Presner
Elissa
L.
012894
PA
10/24/2018
10/17/2018
1982
Hartlieb
Laura
A
013902
PA
02/26/2016
02/19/2016
1982
Yung
Arvid
Si Lik
269023
MD
06/19/2015
06/22/2015
1982
Gil
Jacqueline
G
012327
PA
04/07/2015
03/31/2015
1982
Charder
Nicole
B
269143
MD
01/09/2015
01/06/2015
1982
Alexis
Uel
J
261591
MD
08/26/2014
10/14/2014
1982
Morales
Nelson
Villarroel
None
MD
10/15/2014
10/08/2014
1982
Villarroel
Nelson
None
MD
10/15/2014
10/08/2014
1982
Underwood
Angelika
T
011004
PA
11/14/2012
11/07/2012
1982
Kleydman
Yekaterina
254386
DO
02/28/2024
02/21/2024
1983
Hartridge
Caroline
L.
286786
DO
12/18/2023
12/11/2023
1983
Medina
Sixto
Roberto
308811
MD
08/14/2023
08/07/2023
1983
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