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1487058145
GWENDOLYN MOORE
SYRACUSE, NY
NPI
1487058145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 336836)
Enumeration Date
2014-10-09
Last Update Date
2023-11-13
Business Address
GWENDOLYN MOORE NP
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-474-1561
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Mailing Address
GWENDOLYN MOORE NP
UPSTATE UNIVERSITY HOSPITAL 750 E ADAMS ST
SYRACUSE, NY 13210
Phone number: 315-464-5540
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