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1023240116
KATHRYN ELLEN ERICKSEN
VESTAL, NY
NPI
1023240116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: NY 340744-1)
Enumeration Date
2009-08-22
Last Update Date
2009-08-22
Business Address
Ms. KATHRYN ELLEN ERICKSEN GNP
3700 OLD VESTAL RD
VESTAL, NY 13850-2229
Phone number: 607-221-2745
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Mailing Address
Ms. KATHRYN ELLEN ERICKSEN GNP
385 INGRAHAM HILL RD
BINGHAMTON, NY 13903-5513
Phone number: 607-621-0313
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