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1730650698
GINA FASOLO
SYRACUSE, NY
NPI
1730650698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NY 647022)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
Miss GINA FASOLO CRNA
301 PROSPECT AVE
SYRACUSE, NY 13203-1807
Phone number: 315-448-5111
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Mailing Address
Miss GINA FASOLO CRNA
73 LINDEN AVE
ELMWOOD PARK, NJ 07407-2248
Phone number: 201-615-6601
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