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1164199428
JESSICA DALE CARR
ITHACA, NY
NPI
1164199428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 348227)
Enumeration Date
2021-08-25
Last Update Date
2021-08-25
Business Address
JESSICA DALE CARR NP
905 HANSHAW RD STE C
ITHACA, NY 14850-1549
Phone number: 607-277-2170
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Mailing Address
JESSICA DALE CARR NP
905 HANSHAW RD STE C
ITHACA, NY 14850-1549
Phone number: 607-277-2170
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