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1356605182
FAWN LEE KINGSBURY
SYRACUSE, NY
NPI
1356605182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 300952)
Enumeration Date
2012-06-26
Last Update Date
2012-06-26
Business Address
-- FAWN LEE KINGSBURY lpn
230 CROLY ST
SYRACUSE, NY 13224-1535
Phone number: 315-863-6837
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Mailing Address
-- FAWN LEE KINGSBURY lpn
230 CROLY ST
SYRACUSE, NY 13224-1535
Phone number: 315-863-6837
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