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1235235102
JEFFREY KARL VANTASSEL
SYRACUSE, NY
NPI
1235235102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: NY 001620)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY KARL VANTASSEL AuD
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-4806
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Mailing Address
Dr. JEFFREY KARL VANTASSEL AuD
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-4806
Copy
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