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1053388801
JESSICA ANN KOSCELNAK
BINGHAMTON, NY
NPI
1053388801
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Former Name
JESSICA ANN DIBBLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 334804)
Enumeration Date
2006-03-01
Last Update Date
2009-01-05
Business Address
-- JESSICA ANN KOSCELNAK FNP
40 MITCHELL AVENUE
BINGHAMTON, NY 13903
Phone number: 607-772-0639
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Mailing Address
-- JESSICA ANN KOSCELNAK FNP
346 GRAND AVE
JOHNSON CITY, NY 13790-2558
Phone number: 607-763-6293
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