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1104207893
THERESA MARIE CLEARWATER
NEWBURGH, NY
NPI
1104207893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F339710-1)
Enumeration Date
2015-06-18
Last Update Date
2020-08-06
Business Address
THERESA MARIE CLEARWATER FNP
1200 ROUTE 300
NEWBURGH, NY 12550-5003
Phone number: 845-703-6999
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Mailing Address
THERESA MARIE CLEARWATER FNP
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941-4028
Phone number: 845-703-6999
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