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1124095179
PAUL DECARLO
SYRACUSE, NY
NPI
1124095179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NY 292514)
Enumeration Date
2006-03-08
Last Update Date
2007-07-08
Business Address
PAUL DECARLO CRNA
736 IRVING AVE
SYRACUSE, NY 13210-1687
Phone number: 315-470-7828
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Mailing Address
PAUL DECARLO CRNA
PO BOX 2005
EAST SYRACUSE, NY 13057-4505
Phone number: 315-449-0513
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