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1063281558
JERIICA KELLY WEATHERUP
WATERTOWN, NY
NPI
1063281558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 321769)
Enumeration Date
2023-12-26
Last Update Date
2023-12-26
Business Address
JERIICA KELLY WEATHERUP
650 STATE STREET
WATERTOWN, NY 13601-1251
Phone number: 315-755-1251
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Mailing Address
JERIICA KELLY WEATHERUP
114 SCIO ST
WATERTOWN, NY 13601-2451
Phone number: 315-921-1878
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