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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
Russell
Samuel
J
009631
PA
03/22/2012
03/15/2012
1980
Rydberg
Amanda
B
007079
PA
10/29/2002
10/29/2002
1976
Ryndin
Natalia
007493
PA
01/24/2018
01/17/2018
1966
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