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1235468273
MICHELLE HAWTHORNE
ITHACA, NY
NPI
1235468273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 384352-1)
Enumeration Date
2009-12-22
Last Update Date
2009-12-22
Business Address
-- MICHELLE HAWTHORNE
412 WARREN PL
ITHACA, NY 14850-3143
Phone number: 607-275-9535
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Mailing Address
-- MICHELLE HAWTHORNE
412 WARREN PL
ITHACA, NY 14850-3143
Phone number: 607-275-9535
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