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1043795735
DIANNE MARIE VITKUS
SYRACUSE, NY
NPI
1043795735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-09-27
Last Update Date
2023-09-12
Business Address
DIANNE MARIE VITKUS
301 PROSPECT AVE
SYRACUSE, NY 13203-1899
Phone number: 315-448-5111
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Mailing Address
DIANNE MARIE VITKUS
4104 HIGHLAND AVE
SKANEATELES, NY 13152-9461
Phone number: 315-406-5804
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