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1811407745
LANEASHA MARIE EUDELL
SYRACUSE, NY
NPI
1811407745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 402314)
Enumeration Date
2017-10-05
Last Update Date
2024-11-06
Business Address
LANEASHA MARIE EUDELL NPP
321 W ONONDAGA ST
SYRACUSE, NY 13202-3207
Phone number: 315-478-2030
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Mailing Address
LANEASHA MARIE EUDELL NPP
213 SUNNYBROOK DR
SYRACUSE, NY 13219-1231
Phone number: 315-604-1974
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