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1093229973
SUSAN JANE COULTER
CENTRAL SQUARE, NY
NPI
1093229973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 453993-1)
Enumeration Date
2017-11-29
Last Update Date
2017-11-29
Business Address
Mrs. SUSAN JANE COULTER
294 NORTHLAND DR
CENTRAL SQUARE, NY 13036-9750
Phone number: 315-247-7606
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Mailing Address
Mrs. SUSAN JANE COULTER
263 NORTHLAND DR
CENTRAL SQUARE, NY 13036-9756
Phone number: 315-395-9740
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