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1194016469
SHARON WALSH COSTELLO
SYRACUSE, NY
NPI
1194016469
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Former Name
SHARON KAY WALSH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 332581-1)
Enumeration Date
2011-04-21
Last Update Date
2011-04-21
Business Address
Mrs. SHARON WALSH COSTELLO
110 SECOND NORTH STREET APT 17
SYRACUSE, NY 13208
Phone number: 315-474-0960
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Mailing Address
Mrs. SHARON WALSH COSTELLO
110 SECOND NORTH STREET APT # 17
SYRACUSE, NY 13208
Phone number: 315-474-0960
Copy
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