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1114657228
SAMANTHA GOUTERMOUT
FULTON, NY
NPI
1114657228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 717095)
Enumeration Date
2022-06-13
Last Update Date
2023-03-29
Business Address
SAMANTHA GOUTERMOUT NP
522 S 4TH ST
FULTON, NY 13069-2946
Phone number: 315-592-3930
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Mailing Address
SAMANTHA GOUTERMOUT NP
110 W 6TH ST
OSWEGO, NY 13126-2507
Phone number: 315-349-5511
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