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1750712071
MIKETA COMBS
SYRACUSE, NY
NPI
1750712071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 316423)
Enumeration Date
2013-12-12
Last Update Date
2013-12-12
Business Address
-- MIKETA COMBS LPN
205 LAMSON ST # 1
SYRACUSE, NY 13206-2326
Phone number: 315-317-3917
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Mailing Address
-- MIKETA COMBS LPN
205 LAMSON ST # 1
SYRACUSE, NY 13206-2326
Phone number: 315-317-3917
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