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1518140979
KIMBERLYN VANESSA DETRICK
SYRACUSE, NY
NPI
1518140979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2007-12-07
Last Update Date
2021-12-16
Business Address
Dr. KIMBERLYN VANESSA DETRICK D.O
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-4006
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Mailing Address
Dr. KIMBERLYN VANESSA DETRICK D.O
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-4006
Copy
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