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1962712430
JUDY TACK
BALDWINSVILLE, NY
NPI
1962712430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 399291)
Enumeration Date
2010-10-18
Last Update Date
2010-10-18
Business Address
-- JUDY TACK
222 DEERWOOD DR
BALDWINSVILLE, NY 13027-3145
Phone number: 315-638-6126
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Mailing Address
-- JUDY TACK
222 DEERWOOD DR
BALDWINSVILLE, NY 13027-3145
Phone number:
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