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1023111978
THERESA D FEOLA
SYRACUSE, NY
NPI
1023111978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 332278)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
-- THERESA D FEOLA NP
750 E ADAMS ST CIM POB SUITE 304
SYRACUSE, NY 13210
Phone number: 315-464-5533
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Mailing Address
-- THERESA D FEOLA NP
2294 POMPEY HOLLOW RD
CAZENOVIA, NY 13035
Phone number: 315-662-7160
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