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1437646585
KOREY LEIGH FANTACONE
BALDWINSVILLE, NY
NPI
1437646585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2018-04-15
Last Update Date
2022-10-28
Business Address
Mrs. KOREY LEIGH FANTACONE MS, OTR/L
1005 VILLAGE BLVD S
BALDWINSVILLE, NY 13027-3369
Phone number: 315-215-6991
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Mailing Address
Mrs. KOREY LEIGH FANTACONE MS, OTR/L
159 WEST 1ST STREET
OSWEGO, NY 13126
Phone number: 315-456-8260
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