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1023048048
MARY OOT
FAYETTEVILLE, NY
NPI
1023048048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F330713)
Enumeration Date
2006-07-04
Last Update Date
2020-09-16
Business Address
MARY OOT FNP
510 TOWNE DR
FAYETTEVILLE, NY 13066-1331
Phone number: 315-663-0500
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Mailing Address
MARY OOT FNP
104 THORNDIKE LN
MINOA, NY 13116-1128
Phone number:
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