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1336336759
ROBERT JOHN TYSON
SYRACUSE, NY
NPI
1336336759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 241946)
Enumeration Date
2007-09-30
Last Update Date
2007-09-30
Business Address
MR. ROBERT JOHN TYSON LPN
215 STANDISH DR
SYRACUSE, NY 13224-1913
Phone number: 315-477-9593
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Mailing Address
MR. ROBERT JOHN TYSON LPN
215 STANDISH DR
SYRACUSE, NY 13224-1913
Phone number: 315-477-9593
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