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1366170599
COREY MICHAEL LABOUNTY
SYRACUSE, NY
NPI
1366170599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 349702)
Enumeration Date
2022-08-15
Last Update Date
2022-08-15
Business Address
COREY MICHAEL LABOUNTY
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-2500
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Mailing Address
COREY MICHAEL LABOUNTY
506 PARK AVE
SYRACUSE, NY 13204-2413
Phone number: 315-705-5746
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