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1699895912
KATHY JEAN WHITEHEAD
SYRACUSE, NY
NPI
1699895912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY F330885-1)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
MS. KATHY JEAN WHITEHEAD FNP
4900 BROAD RD
SYRACUSE, NY 13215-2265
Phone number: 315-492-5011
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Mailing Address
MS. KATHY JEAN WHITEHEAD FNP
4685 ANTOINETTE DR
MARCELLUS, NY 13108-1001
Phone number: 315-673-2310
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