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1922383017
ELISSAVETA DIMITROVA VASSILEVA
SYRACUSE, NY
NPI
1922383017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F334157-1)
Enumeration Date
2011-10-20
Last Update Date
2011-10-20
Business Address
Mrs. ELISSAVETA DIMITROVA VASSILEVA NP
5075 W SENECA TPKE
SYRACUSE, NY 13215
Phone number: 315-435-5511
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Mailing Address
Mrs. ELISSAVETA DIMITROVA VASSILEVA NP
5075 W SENECA TPKE
SYRACUSE, NY 13215
Phone number: 315-435-5511
Copy
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