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1790171841
JEREMY JAMES MASSOUD
SYRACUSE, NY
NPI
1790171841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 6883851)
Enumeration Date
2015-04-15
Last Update Date
2015-04-15
Business Address
Mr. JEREMY JAMES MASSOUD
800 IRVING AVE VETERANS AFFAIRS MEDICAL CENTER
SYRACUSE, NY 13210
Phone number: 720-236-7138
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Mailing Address
Mr. JEREMY JAMES MASSOUD
800 IRVING AVE VETERANS AFFAIRS MEDICAL CENTER
SYRACUSE, NY 13210
Phone number: 720-236-7138
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