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1023032729
JENNIFER ANNE SHATTUCK
JOHNSON CITY, NY
NPI
1023032729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY 334772)
Enumeration Date
2006-07-26
Last Update Date
2021-03-19
Business Address
JENNIFER ANNE SHATTUCK N.P.
260 RIVERSIDE DR
JOHNSON CITY, NY 13790-2745
Phone number: 607-798-7811
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Mailing Address
JENNIFER ANNE SHATTUCK N.P.
260 RIVERSIDE DR
JOHNSON CITY, NY 13790-2745
Phone number: 607-798-7811
Copy
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