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1164864179
KELLY A TESTA
SYRACUSE, NY
NPI
1164864179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: NY F421124-1)
Enumeration Date
2013-07-19
Last Update Date
2014-08-04
Business Address
-- KELLY A TESTA NP
195 INTREPID LN
SYRACUSE, NY 13205-2548
Phone number: 315-469-8700
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Mailing Address
-- KELLY A TESTA NP
195 INTREPID LN
SYRACUSE, NY 13205-2548
Phone number: 315-469-8700
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