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1417213091
JOHN DAVIS HALL
SYRACUSE, NY
NPI
1417213091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 298003)
Enumeration Date
2012-04-08
Last Update Date
2012-04-08
Business Address
-- JOHN DAVIS HALL lpn
166 GRACE ST
SYRACUSE, NY 13204-3602
Phone number: 315-396-9814
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Mailing Address
-- JOHN DAVIS HALL lpn
166 GRACE ST
SYRACUSE, NY 13204-3602
Phone number: 315-396-9814
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