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1003343237
AUDREY VICTORIA VANDEWALL
SYRACUSE, NY
NPI
1003343237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: MI 5101025536)
Enumeration Date
2017-05-18
Last Update Date
2022-10-10
Business Address
Dr. AUDREY VICTORIA VANDEWALL DO
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-408-5854
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Mailing Address
Dr. AUDREY VICTORIA VANDEWALL DO
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number:
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