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1235146515
DIANE M. GROTH
SYRACUSE, NY
NPI
1235146515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 380301)
Enumeration Date
2006-08-01
Last Update Date
2012-09-14
Business Address
-- DIANE M. GROTH NP
750 E ADAMS ST
SYRACUSE, NY 13210-2342
Phone number: 315-464-5450
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Mailing Address
-- DIANE M. GROTH NP
750 E ADAMS ST
SYRACUSE, NY 13210-2342
Phone number: 315-464-5450
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