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1225468713
AMY STREET
SYRACUSE, NY
NPI
1225468713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: NY 725427131)
Enumeration Date
2013-11-19
Last Update Date
2013-11-19
Business Address
-- AMY STREET
301 VALLEY DR
SYRACUSE, NY 13207-2298
Phone number: 315-468-1632
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Mailing Address
-- AMY STREET
4277 MONTEZUMA CRSE
LIVERPOOL, NY 13090-6854
Phone number:
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