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1093558256
SHAWNTEY I BAILEY-HUDSON
SYRACUSE, NY
NPI
1093558256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F307638)
Enumeration Date
2024-06-17
Last Update Date
2024-07-24
Business Address
SHAWNTEY I BAILEY-HUDSON
5075 W SENECA TPKE
SYRACUSE, NY 13215-3216
Phone number: 888-256-3814
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Mailing Address
SHAWNTEY I BAILEY-HUDSON
1100 NW SOUTH OUTER RD STE 200
BLUE SPRINGS, MO 64015-3069
Phone number: 888-256-3814
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