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1205493780
JEDIDIAH LIGUORI KISSANE
SYRACUSE, NY
NPI
1205493780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-21
Last Update Date
2019-05-21
Business Address
JEDIDIAH LIGUORI KISSANE
421 MONTGOMERY ST STE 1000A
SYRACUSE, NY 13202-2982
Phone number: 315-435-3230
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Mailing Address
JEDIDIAH LIGUORI KISSANE
302 DEWITTSHIRE RD S
SYRACUSE, NY 13214-2212
Phone number: 315-559-9827
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