ROBERT JOHN TYSON

SYRACUSE, NY
NPI1336336759
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  241946)
Enumeration Date2007-09-30
Last Update Date2007-09-30
Business Address
Mr. ROBERT JOHN TYSON LPN
215 STANDISH DR
SYRACUSE, NY 13224-1913
Phone number: 315-477-9593
Mailing Address
Mr. ROBERT JOHN TYSON LPN
215 STANDISH DR
SYRACUSE, NY 13224-1913
Phone number: 315-477-9593
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