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1013391754
IVA KAY PETERSON
SYRACUSE, NY
NPI
1013391754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 451010-1)
Enumeration Date
2015-07-13
Last Update Date
2015-07-13
Business Address
-- IVA KAY PETERSON RN
308 NICHOLS AVE
SYRACUSE, NY 13206
Phone number: 315-463-1518
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Mailing Address
-- IVA KAY PETERSON RN
308 NICHOLS AVE
SYRACUSE, NY 13206
Phone number: 315-463-1518
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