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1114049947
EVETTE BAUM
SYRACUSE, NY
NPI
1114049947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 268640)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
-- EVETTE BAUM
813 FAY RD
SYRACUSE, NY 13219-3009
Phone number: 315-488-2831
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Mailing Address
-- EVETTE BAUM
125 TENNYSON AVE
SYRACUSE, NY 13204-2612
Phone number:
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