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1174804728
TAMIKA ANDREA JETER
SYRACUSE, NY
NPI
1174804728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 273250)
Enumeration Date
2011-09-08
Last Update Date
2011-09-08
Business Address
Ms. TAMIKA ANDREA JETER lpn
302 HIGHLAND ST 2ND FLR
SYRACUSE, NY 13203-1622
Phone number: 315-420-1748
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Mailing Address
Ms. TAMIKA ANDREA JETER lpn
302 HIGHLAND ST 2ND FLR
SYRACUSE, NY 13203-1622
Phone number: 315-420-1748
Copy
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