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1457314650
SUSAN M RANDALL-MANTELLA
FAYETTEVILLE, NY
NPI
1457314650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F330714)
Enumeration Date
2006-04-10
Last Update Date
2011-11-23
Business Address
-- SUSAN M RANDALL-MANTELLA RNNP
4117 MEDICAL CENTER DR POD C
FAYETTEVILLE, NY 13066-6600
Phone number: 315-329-4975
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Mailing Address
-- SUSAN M RANDALL-MANTELLA RNNP
4117 MEDICAL CENTER DR POD C
FAYETTEVILLE, NY 13066-6600
Phone number: 315-329-4975
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