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1295441640
ROBERTA COUNTRYMAN
SYRACUSE, NY
NPI
1295441640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F349152-01)
Enumeration Date
2023-01-30
Last Update Date
2023-01-30
Business Address
ROBERTA COUNTRYMAN FNP
3709 ERIE BLVD E
SYRACUSE, NY 13214-2227
Phone number: 315-251-2244
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Mailing Address
ROBERTA COUNTRYMAN FNP
4228 PISCES CIR
LIVERPOOL, NY 13090-1342
Phone number: 131-527-8823
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