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1124161898
ELLEN RAYMOND
SYRACUSE, NY
NPI
1124161898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 331854)
Enumeration Date
2007-02-14
Last Update Date
2013-05-30
Business Address
-- ELLEN RAYMOND NP
301 PROSPECT AVE
SYRACUSE, NY 13203-1807
Phone number: 315-448-5111
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Mailing Address
-- ELLEN RAYMOND NP
104 UNION AVE SUITE 804
SYRACUSE, NY 13203-1843
Phone number: 315-703-5049
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