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1104433820
JENNIFER BLAZE LACLAIR
WATERTOWN, NY
NPI
1104433820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 346485)
Enumeration Date
2020-09-27
Last Update Date
2020-09-28
Business Address
JENNIFER BLAZE LACLAIR FNP-C
26561 STATE ROUTE 3
WATERTOWN, NY 13601-1749
Phone number: 315-782-7246
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Mailing Address
JENNIFER BLAZE LACLAIR FNP-C
24874 COUNTY ROUTE 16
EVANS MILLS, NY 13637-3107
Phone number: 315-767-3387
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