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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Lape Jeffrey 000489 PA 05/08/2024 05/01/2024 1952
Delrosario Gonzalez Nancy 113372 MD 05/03/2024 04/30/2024 1940
Delrosario-Gonzalez Nancy 113372 MD 05/03/2024 04/30/2024 1940
Williams Dwight M. 152712 MD 04/05/2024 04/25/2024 1952
White Xavier 198793 MD 03/18/2024 04/23/2024 1948
Ross Jonathan M. 127593 MD 04/29/2024 04/22/2024 1945
Ali Syed Masood 162447 MD 04/29/2024 04/22/2024 1940
Baram Vadim 230500 MD 04/29/2024 04/22/2024 1967
Gordon Linda R. 220666 MD 04/04/2024 04/18/2024 1971
Santiago Julian A. 019319 PA 04/24/2024 04/17/2024 1993
Stoll Andrew M. 174508 MD 04/24/2024 04/17/2024 1958
Nelson Alan J. 125202 MD 04/24/2024 04/17/2024 1945
Venerus Bryan J. 229527 MD 04/23/2024 04/16/2024 1961
Isaac George B. 204255 MD 04/19/2024 04/12/2024 1960
Combs Sarah A. 263969 MD 04/02/2024 04/10/2024 1981
Hobbs-Green Roxanne 181769 MD 04/15/2024 04/09/2024 1960
Tatum David Arthur 279951 DO 04/15/2024 04/09/2024 1982
Jordan Matthew J. 015551 PA 04/15/2024 04/09/2024 1981
Hartlieb Laura A. 013902 PA 04/15/2024 04/09/2024 1982
Horton Daniel A. 024076 PA 04/15/2024 04/08/2024 1982
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