Department of State
Board of Medicine
PHILLIP REYBOLD TATNALL JR
Medical Physician And Surgeon
License number
MD022308E
Date granted
07/02/1979
Date expires
12/31/1988
Class
Medical Physician And Surgeon
Status
Inactive
Address
STAR-LAKE NY 13690
medicinepa.com
ID 37681121
LAST UPDATED 2024-02-23 19:13:27 UTC
LAST UPDATED 2024-02-23 19:13:27 UTC
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