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1912661505
AMANDA LEE MCDERMOTT
SYRACUSE, NY
NPI
1912661505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 347686)
Enumeration Date
2021-10-28
Last Update Date
2021-10-28
Business Address
AMANDA LEE MCDERMOTT
104 UNION AVE STE 904
SYRACUSE, NY 13203-1845
Phone number: 315-703-5108
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Mailing Address
AMANDA LEE MCDERMOTT
105 SCOTT LN
LIVERPOOL, NY 13088-5433
Phone number: 315-663-5145
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