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1841968120
LILLIAN MARTINA PENIX
SYRACUSE, NY
NPI
1841968120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 348389)
Enumeration Date
2021-09-01
Last Update Date
2022-10-17
Business Address
LILLIAN MARTINA PENIX NP
1226 E WATER ST
SYRACUSE, NY 13210-1155
Phone number: 315-478-3468
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Mailing Address
LILLIAN MARTINA PENIX NP
416 KIMBER RD
SYRACUSE, NY 13224-1836
Phone number:
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