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1255561825
BRETT ANDREW DIETZMAN
JOHNSON CITY, NY
NPI
1255561825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY 335990)
Enumeration Date
2009-07-17
Last Update Date
2011-11-23
Business Address
BRETT ANDREW DIETZMAN FNP
33-57 HARRISON ST
JOHNSON CITY, NY 13790-2107
Phone number: 607-763-6412
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Mailing Address
BRETT ANDREW DIETZMAN FNP
346 GRAND AVE
JOHNSON CITY, NY 13790-2580
Phone number: 607-729-8156
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