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Individual

TERRY L PREDMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
7785 N STATE ST, LOWVILLE, NY 13367-1229
(315) 376-5200
(315) 376-9317
Mailing address
PO BOX 2337, SYRACUSE, NY 13220-2337
(315) 422-2933
(315) 422-3909

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
501897
NY

Other

Enumeration date
03/18/2008
Last updated
05/23/2008
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