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Individual

MS. OLIVIA SANDFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
709 N MAIN ST, NORTH SYRACUSE, NY 13212-1669
(315) 569-4549
Mailing address
702 FOREST DR, NORTH SYRACUSE, NY 13212-2449
(315) 530-7191

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
05/31/2019
Last updated
05/31/2019
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