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1417103771
SUSAN TINA WALDT
SYRACUSE, NY
NPI
1417103771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 270162-1)
Enumeration Date
2008-08-18
Last Update Date
2008-08-18
Business Address
-- SUSAN TINA WALDT LPN
512 ROSEWOOD ROAD
SYRACUSE, NY 13209
Phone number: 315-491-0181
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Mailing Address
-- SUSAN TINA WALDT LPN
512 ROSEWOOD ROAD
SYRACUSE, NY 13209
Phone number: 315-491-0181
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