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1265424519
KENT O HUSTAD
SYRACUSE, NY
NPI
1265424519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: NY 152980)
Enumeration Date
2005-08-22
Last Update Date
2007-09-13
Business Address
Dr. KENT O HUSTAD M.D.
301 PROSPECT AVE
SYRACUSE, NY 13203-1807
Phone number: 315-448-5416
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Mailing Address
Dr. KENT O HUSTAD M.D.
4567 CROSSROADS PARK DR 2ND FLOOR
LIVERPOOL, NY 13088-3589
Phone number: 315-434-9309
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