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Individual

JULLIEN MOWATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1617 N JAMES ST STE 900, ROME, NY 13440-2846
(315) 336-8260
(315) 314-8536
Mailing address
2209 GENESEE ST, UTICA, NY 13501-5999
(315) 801-8534

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
686005
NY
363L00000X
Nurse Practitioner
Primary
349709
NY

Other

Enumeration date
06/01/2022
Last updated
06/28/2022
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