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1710288741
STEPHANIE NICOLE LIVERMORE-HALE
SYRACUSE, NY
NPI
1710288741
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Former Name
STEPHANIE NICOLE LIVERMORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 014286)
Enumeration Date
2010-11-08
Last Update Date
2023-01-06
Business Address
Ms. STEPHANIE NICOLE LIVERMORE-HALE PA-C
4900 BROAD RD
SYRACUSE, NY 13215
Phone number: 315-492-5011
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Mailing Address
Ms. STEPHANIE NICOLE LIVERMORE-HALE PA-C
8493 POOLS BROOK RD
KIRKVILLE, NY 13082-9503
Phone number: 315-271-4325
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