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1164516167
KATHLEEN MARIE OTIS
SYRACUSE, NY
NPI
1164516167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 299913-1)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
Ms. KATHLEEN MARIE OTIS CRNA
800 IRVING AVE
SYRACUSE, NY 13210-2716
Phone number: 315-425-4400
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Mailing Address
Ms. KATHLEEN MARIE OTIS CRNA
313 E WILLOW ST
SYRACUSE, NY 13203-1976
Phone number: 315-378-4869
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