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Individual

MRS. KERI L CAPPELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
929 YORK ST, UTICA, NY 13502-3929
(315) 368-6764
Mailing address
929 YORK ST, UTICA, NY 13502-3929
(315) 368-6764

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
647049-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
647049-1
NY
Enumeration date
03/30/2012
Last updated
03/30/2012
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