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1174510242
LISA M ENNIS
NEW HARTFORD, NY
NPI
1174510242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 330969)
Enumeration Date
2005-10-04
Last Update Date
2007-07-08
Business Address
-- LISA M ENNIS NP
1729 BURRSTONE RD
NEW HARTFORD, NY 13413-1001
Phone number: 315-798-1700
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Mailing Address
-- LISA M ENNIS NP
1729 BURRSTONE RD
NEW HARTFORD, NY 13413-1001
Phone number: 315-798-1700
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