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1750046843
JESSICA CAROLYN CLARK MANDERVILLE
ITHACA, NY
NPI
1750046843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 643474)
Enumeration Date
2021-11-03
Last Update Date
2021-11-03
Business Address
JESSICA CAROLYN CLARK MANDERVILLE RN
55 BROWN RD
ITHACA, NY 14850-1247
Phone number: 607-274-6600
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Mailing Address
JESSICA CAROLYN CLARK MANDERVILLE RN
55 BROWN RD
ITHACA, NY 14850-1247
Phone number:
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