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1699380071
CAROL A SUSTACHE
SYRACUSE, NY
NPI
1699380071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: NY 277864)
Enumeration Date
2020-09-11
Last Update Date
2020-09-11
Business Address
CAROL A SUSTACHE LPN
407 GRAND AVE
SYRACUSE, NY 13204-2711
Phone number: 315-396-3731
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Mailing Address
CAROL A SUSTACHE LPN
407 GRAND AVE
SYRACUSE, NY 13204-2711
Phone number: 315-396-3731
Copy
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