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1912734682
EKENECHI EZEANOLUE
SYRACUSE, NY
NPI
1912734682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NY 406102)
Enumeration Date
2024-09-17
Last Update Date
2024-09-17
Business Address
EKENECHI EZEANOLUE
620 ERIE BLVD W
SYRACUSE, NY 13204-2445
Phone number: 315-472-7376
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Mailing Address
EKENECHI EZEANOLUE
29 LILAC DR APT 2
ROCHESTER, NY 14620-3224
Phone number: 702-419-5195
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