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1043720956
KELLY FISK
SYRACUSE, NY
NPI
1043720956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NY 021455)
Enumeration Date
2017-10-05
Last Update Date
2017-10-05
Business Address
KELLY FISK
329 N SALINA ST
SYRACUSE, NY 13203-1755
Phone number: 315-471-1564
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Mailing Address
KELLY FISK
108 TERRACE CIR
SYRACUSE, NY 13214-1232
Phone number:
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