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1750911061
CAROLYN H REVERCOMB
SYRACUSE, NY
NPI
1750911061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207ZF0201X Pathology, Forensic Pathology
(Licence: NY 202191)
Enumeration Date
2020-01-26
Last Update Date
2020-01-26
Business Address
CAROLYN H REVERCOMB
100 ELIZABETH BLACKWELL ST
SYRACUSE, NY 13210-2303
Phone number: 315-435-3163
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Mailing Address
CAROLYN H REVERCOMB
401 S SALINA ST APT 506
SYRACUSE, NY 13202-2563
Phone number: 571-217-6440
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