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Individual

MRS. KELLY LYNN THURBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6253 STATE ROUTE 31, CICERO, NY 13039-8730
(315) 452-1600
(315) 288-5434
Mailing address
6253 STATE ROUTE 31, CICERO, NY 13039-8730
(315) 452-1600
(315) 363-4661

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
14000036480
NY
237700000X
Hearing Instrument Specialist
Primary
14000051134
NY

Other

Enumeration date
06/20/2013
Last updated
09/23/2021
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