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1962849653
STACIA W TRAVER
SYRACUSE, NY
NPI
1962849653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 312880-1)
Enumeration Date
2013-06-04
Last Update Date
2013-06-04
Business Address
-- STACIA W TRAVER LPN
4924 LIMEHILL DR
SYRACUSE, NY 13215-1325
Phone number: 315-432-5636
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Mailing Address
-- STACIA W TRAVER LPN
4924 LIMEHILL DR
SYRACUSE, NY 13215-1325
Phone number: 315-432-5636
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