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1821878117
MONIQUE KATITIA BUISSERETH
SYRACUSE, NY
NPI
1821878117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY F352868-01)
Enumeration Date
2023-10-03
Last Update Date
2024-01-05
Business Address
MONIQUE KATITIA BUISSERETH FNP-BC
266 WOODBINE AVE
SYRACUSE, NY 13206-3303
Phone number: 504-255-8399
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Mailing Address
MONIQUE KATITIA BUISSERETH FNP-BC
266 WOODBINE AVE
SYRACUSE, NY 13206-3303
Phone number: 504-255-8399
Copy
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