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1235919465
KIMBERLY SUE STEVENS
SYRACUSE, NY
NPI
1235919465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 188178)
Enumeration Date
2023-10-04
Last Update Date
2023-10-04
Business Address
MRS. KIMBERLY SUE STEVENS LPN
620 MADISON ST
SYRACUSE, NY 13210-2338
Phone number: 315-426-3600
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Mailing Address
MRS. KIMBERLY SUE STEVENS LPN
338 COUNTY ROUTE 11 LOT 154
WEST MONROE, NY 13167-4114
Phone number: 315-882-0489
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