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1700607488
KIMBERLY MARIE DISTASIO
OGDENSBURG, NY
NPI
1700607488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 753082)
Enumeration Date
2024-10-24
Last Update Date
2024-10-24
Business Address
KIMBERLY MARIE DISTASIO
1 CHIMNEY POINT DR
OGDENSBURG, NY 13669-2291
Phone number: 315-541-2500
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Mailing Address
KIMBERLY MARIE DISTASIO
96 GULF RD
COLTON, NY 13625-3190
Phone number: 315-261-3372
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