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1013527605
NICOLE LAVALLE
CAMILLUS, NY
NPI
1013527605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F346102-01)
Enumeration Date
2020-08-07
Last Update Date
2020-08-07
Business Address
NICOLE LAVALLE FNP
270 TOWNSHIP BLVD
CAMILLUS, NY 13031-1674
Phone number: 315-487-1541
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Mailing Address
NICOLE LAVALLE FNP
270 TOWNSHIP BLVD
CAMILLUS, NY 13031-1674
Phone number: 315-487-1541
Copy
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