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1104171461
THEO L DEAN
SYRACUSE, NY
NPI
1104171461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 358632)
Enumeration Date
2012-07-23
Last Update Date
2012-07-23
Business Address
Ms. THEO L DEAN RN
2105 W GENESEE ST
SYRACUSE, NY 13219-1698
Phone number: 315-468-3239
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Mailing Address
Ms. THEO L DEAN RN
13 STATE ST
SKANEATELES, NY 13152-1233
Phone number: 315-559-1168
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