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1134502511
SHANICA RUDISELL
SYRACUSE, NY
NPI
1134502511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 22 664889)
Enumeration Date
2015-07-03
Last Update Date
2015-07-03
Business Address
-- SHANICA RUDISELL RN
538 CORTLAND AVE
SYRACUSE, NY 13205-1039
Phone number: 315-450-3281
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Mailing Address
-- SHANICA RUDISELL RN
538 CORTLAND AVE
SYRACUSE, NY 13205-1039
Phone number: 315-450-3281
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