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1649789934
STEVE KALISA RUTAGARAMA
SYRACUSE, NY
NPI
1649789934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 342202)
Enumeration Date
2017-09-29
Last Update Date
2019-02-20
Business Address
STEVE KALISA RUTAGARAMA FNP
739 IRVING AVE STE 200-300
SYRACUSE, NY 13210
Phone number: 315-479-5070
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Mailing Address
STEVE KALISA RUTAGARAMA FNP
1001 W FAYETTE ST STE 400
SYRACUSE, NY 13204-2866
Phone number: 315-479-5070
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