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1104529890
JUSTIN THOMAS JOHN
SYRACUSE, NY
NPI
1104529890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F350077)
Enumeration Date
2023-03-23
Last Update Date
2023-03-23
Business Address
Mr. JUSTIN THOMAS JOHN NP
301 PROSPECT AVE
SYRACUSE, NY 13203-1807
Phone number: 315-448-6253
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Mailing Address
Mr. JUSTIN THOMAS JOHN NP
405 MALLARD DR
CAMILLUS, NY 13031-2097
Phone number: 315-546-4416
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