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1366048357
JENNIFER LYNN DAVIS
SYRACUSE, NY
NPI
1366048357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F310104-01)
Enumeration Date
2020-12-07
Last Update Date
2021-10-25
Business Address
JENNIFER LYNN DAVIS NP
918 JAMES ST
SYRACUSE, NY 13203-2500
Phone number: 844-362-3425
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Mailing Address
JENNIFER LYNN DAVIS NP
612 CORPORATE WAY STE 1M
VALLEY COTTAGE, NY 10989-2027
Phone number: 844-362-3425
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