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1396071114
MICHELLE RENEE BROTHERTON
SYRACUSE, NY
NPI
1396071114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 259865-1)
Enumeration Date
2009-10-29
Last Update Date
2009-10-29
Business Address
MICHELLE RENEE BROTHERTON LPN
400 MONTICELLO DR N
SYRACUSE, NY 13205-2351
Phone number: 315-474-1169
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Mailing Address
MICHELLE RENEE BROTHERTON LPN
400 MONTICELLO DR N
SYRACUSE, NY 13205-2351
Phone number: 315-474-1169
Copy
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