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MRS. CHRISTINE LEIGH POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
103 MERRILL ST, SYRACUSE, NY 13208-1846
(315) 455-6703
Mailing address
103 MERRILL ST, SYRACUSE, NY 13208-1846
(315) 455-6703

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
594904
NY
164W00000X
Licensed Practical Nurse
271967-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02868275
NY
Enumeration date
05/25/2007
Last updated
03/04/2013
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