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1205453826
NICOLE KRISTINE WANNAMAKER
COOPERSTOWN, NY
NPI
1205453826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 346059)
Enumeration Date
2020-06-30
Last Update Date
2020-08-14
Business Address
NICOLE KRISTINE WANNAMAKER
1 ATWELL RD
COOPERSTOWN, NY 13326-1301
Phone number: 607-547-3120
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Mailing Address
NICOLE KRISTINE WANNAMAKER
1 ATWELL RD
COOPERSTOWN, NY 13326-1301
Phone number: 607-547-3283
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