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1154825081
SERENA KAUCHELLE MIKE
SYRACUSE, NY
NPI
1154825081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 325530-1)
Enumeration Date
2018-03-23
Last Update Date
2018-03-23
Business Address
SERENA KAUCHELLE MIKE Licensed Practical N
214 WOODRUFF AVE
SYRACUSE, NY 13203-1054
Phone number: 315-632-1643
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Mailing Address
SERENA KAUCHELLE MIKE Licensed Practical N
214 WOODRUFF AVE
SYRACUSE, NY 13203-1054
Phone number: 315-632-1643
Copy
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