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1083040083
THERESA BAXTER
FAYETTEVILLE, NY
NPI
1083040083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 337994)
Enumeration Date
2013-09-23
Last Update Date
2013-09-23
Business Address
-- THERESA BAXTER FNP
221 HUNT DR
FAYETTEVILLE, NY 13066-1225
Phone number: 315-637-8148
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Mailing Address
-- THERESA BAXTER FNP
221 HUNT DR
FAYETTEVILLE, NY 13066-1225
Phone number: 315-637-8148
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