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1962407841
MATTIE M VANGLYNN
SYRACUSE, NY
NPI
1962407841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 203991)
Enumeration Date
2005-06-16
Last Update Date
2009-07-13
Business Address
-- MATTIE M VANGLYNN RNNP
550 HARRISON ST STE 130
SYRACUSE, NY 13202-3064
Phone number: 315-464-4472
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Mailing Address
-- MATTIE M VANGLYNN RNNP
550 HARRISON ST STE 130
SYRACUSE, NY 13202-3064
Phone number: 315-464-4472
Copy
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