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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
Boutros
Samir
001261
MD
04/02/2012
04/17/2012
1953
Bessett
Daniel
C
000928
PA
05/05/2010
04/28/2010
1950
Bradshaw
Ronald
L
000629
PA
01/09/2013
01/03/2013
1949
Barreto
Luis
L
000436
PA
07/14/2000
1943
Brink
Garth
F
000257
PA
02/11/2000
1931
Bush
Jerry
000239
PA
07/01/1994
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