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1003092156
DONNA MOON
UTICA, NY
NPI
1003092156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 60634)
Enumeration Date
2008-01-18
Last Update Date
2008-01-18
Business Address
-- DONNA MOON
1900 GENESEE ST
UTICA, NY 13502-5635
Phone number: 315-797-7050
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Mailing Address
-- DONNA MOON
1680 BEAR CREEK RD
WOODGATE, NY 13494-2116
Phone number:
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