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Individual

ASHLEY MARIE VACCARO I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S, M.S

Contact information

Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
7941 JOSS FARM WAY, CICERO, NY 13039-7007
(607) 237-3836

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
11/13/2023
Last updated
11/13/2023
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