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1477014371
MATTHEW LASHOMB
SYRACUSE, NY
NPI
1477014371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY 698541)
Enumeration Date
2019-03-26
Last Update Date
2019-03-26
Business Address
MATTHEW LASHOMB
620 MADISON ST
SYRACUSE, NY 13210-2338
Phone number: 315-426-7652
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Mailing Address
MATTHEW LASHOMB
620 MADISON ST
SYRACUSE, NY 13210-2338
Phone number: 315-426-7652
Copy
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