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1811135684
JODI BETH WALLIS
SYRACUSE, NY
NPI
1811135684
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Former Name
JODI BETH KAPLAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NY 271804)
Enumeration Date
2009-02-01
Last Update Date
2013-11-14
Business Address
-- JODI BETH WALLIS D.O.
725 IRVING AVE STE 600
SYRACUSE, NY 13210-1603
Phone number: 315-464-5162
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Mailing Address
-- JODI BETH WALLIS D.O.
725 IRVING AVE STE 600
SYRACUSE, NY 13210-1603
Phone number: 315-464-5162
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