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1407428071
TARA WELLINGTON
SYRACUSE, NY
NPI
1407428071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 403567)
Enumeration Date
2021-07-13
Last Update Date
2021-07-13
Business Address
TARA WELLINGTON
4900 BROAD RD
SYRACUSE, NY 13215-2265
Phone number: 315-492-5713
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Mailing Address
TARA WELLINGTON
PO BOX 10
SANDY CREEK, NY 13145-0010
Phone number: 315-939-3456
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