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1093492621
SARA PAULINE DOMACHOWSKE
SYRACUSE, NY
NPI
1093492621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY F352332-01)
Enumeration Date
2023-07-05
Last Update Date
2023-07-05
Business Address
SARA PAULINE DOMACHOWSKE FNP-C
301 PROSPECT AVE
SYRACUSE, NY 13203-1899
Phone number: 315-448-5111
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Mailing Address
SARA PAULINE DOMACHOWSKE FNP-C
2895 STATE ROUTE 48
OSWEGO, NY 13126-6524
Phone number: 315-532-4590
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