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1790851814
LEIA RAPHAELIDIS
ITHACA, NY
NPI
1790851814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY F333784)
Enumeration Date
2006-11-28
Last Update Date
2014-06-25
Business Address
-- LEIA RAPHAELIDIS N.P.
620 W SENECA ST
ITHACA, NY 14850-3326
Phone number: 607-273-1513
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Mailing Address
-- LEIA RAPHAELIDIS N.P.
620 W SENECA ST
ITHACA, NY 14850-3326
Phone number: 607-273-1513
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