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1720390198
AMANDA ROSE JETTY
SYRACUSE, NY
NPI
1720390198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY 336416)
Enumeration Date
2010-07-13
Last Update Date
2010-07-13
Business Address
AMANDA ROSE JETTY FNP
301 PROSPECT AVE
SYRACUSE, NY 13203-1807
Phone number: 315-448-5111
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Mailing Address
AMANDA ROSE JETTY FNP
301 PROSPECT AVE
SYRACUSE, NY 13203-1807
Phone number: 315-448-5111
Copy
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