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1356565675
MARY AGNES WYKSTRA
SYRACUSE, NY
NPI
1356565675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 251724)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Mrs. MARY AGNES WYKSTRA RN
1540 GLENWOOD AVE
SYRACUSE, NY 13207-1011
Phone number: 315-476-1771
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Mailing Address
Mrs. MARY AGNES WYKSTRA RN
2041 BUCKWHEAT RD
TULLY, NY 13159-9768
Phone number: 315-696-5095
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