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1801172614
NICELEE FALL HOLLENBACK
ITHACA, NY
NPI
1801172614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 401500)
Enumeration Date
2011-10-25
Last Update Date
2023-09-21
Business Address
NICELEE FALL HOLLENBACK NPP
950 DANBY RD STE 202A
ITHACA, NY 14850-5714
Phone number: 607-342-5728
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Mailing Address
NICELEE FALL HOLLENBACK NPP
28 GOODBAND RD
FREEVILLE, NY 13068-9651
Phone number: 607-342-5728
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