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1093718066
BONNIE L SERVAGE
WATERTOWN, NY
NPI
1093718066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F303309)
Enumeration Date
2005-05-24
Last Update Date
2007-10-25
Business Address
Miss BONNIE L SERVAGE ANP
53-59 PUBLIC SQ STE 301
WATERTOWN, NY 13601-2674
Phone number: 315-782-2141
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Mailing Address
Miss BONNIE L SERVAGE ANP
53-59 PUBLIC SQ STE 301
WATERTOWN, NY 13601-2674
Phone number: 315-782-2141
Copy
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