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1821130154
THERESA BURCHILL
UTICA, NY
NPI
1821130154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 217664)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
-- THERESA BURCHILL
1900 GENESEE ST
UTICA, NY 13502-5635
Phone number: 315-797-7050
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Mailing Address
-- THERESA BURCHILL
505 E GARDEN ST
ROME, NY 13440-5303
Phone number:
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