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1124689963
SAMANTHA JO PRENDERGAST
UTICA, NY
NPI
1124689963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 344571)
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
SAMANTHA JO PRENDERGAST FNP-BC
1656 CHAMPLIN AVE STE 406
UTICA, NY 13502-4830
Phone number: 315-269-9443
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Mailing Address
SAMANTHA JO PRENDERGAST FNP-BC
1923 REDFIELD AVE
UTICA, NY 13501-2708
Phone number: 315-269-9443
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