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1952069684
TERESA L DODGE
CORTLAND, NY
NPI
1952069684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 348796)
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
TERESA L DODGE NP
24 GROTON AVE
CORTLAND, NY 13045-2014
Phone number: 607-753-3774
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Mailing Address
TERESA L DODGE NP
85 S WEST ST
HOMER, NY 13077-1542
Phone number: 607-753-3797
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