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1457674061
MILLARD C. GUMTOW
SYRACUSE, NY
NPI
1457674061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 10-241560)
Enumeration Date
2010-03-10
Last Update Date
2010-03-10
Business Address
-- MILLARD C. GUMTOW
1050 W GENESEE ST
SYRACUSE, NY 13204-2215
Phone number: 315-424-3744
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Mailing Address
-- MILLARD C. GUMTOW
1050 W GENESEE ST
SYRACUSE, NY 13204-2215
Phone number: 315-424-3744
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