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1194021212
GREGORY ALFRED ST. PHILLIPS
SYRACUSE, NY
NPI
1194021212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 293594-1)
Enumeration Date
2011-02-07
Last Update Date
2011-02-07
Business Address
Mr. GREGORY ALFRED ST. PHILLIPS LPN
1964 CALEB AVE
SYRACUSE, NY 13206-2519
Phone number: 315-433-1255
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Mailing Address
Mr. GREGORY ALFRED ST. PHILLIPS LPN
1964 CALEB AVE
SYRACUSE, NY 13206-2519
Phone number: 315-433-1255
Copy
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