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1093721102
DESTA ROWENA ANTHONY
SYRACUSE, NY
NPI
1093721102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F303332)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
-- DESTA ROWENA ANTHONY ANP
124 RUGBY RD
SYRACUSE, NY 13206-3225
Phone number: 315-437-1693
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Mailing Address
-- DESTA ROWENA ANTHONY ANP
124 RUGBY RD
SYRACUSE, NY 13206-3225
Phone number: 315-437-1693
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