Statements: CHILDRESS CODY LEE

Canonical ID: NK-BeJBG3t7nqSN4DfcVDBkNi · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
Person:address4317 E GENESEE ST, SUITE 101, DE WITT, NY 132142114ext_us_cms_npius-npi-1568848943
Person:countryusext_us_cms_npius-npi-1568848943
Person:firstNameCODYext_us_cms_npius-npi-1568848943
Person:id1989f289e2a1cf7ff48ddf474ad061455aaa4724ext_us_cms_npius-npi-1568848943
Person:lastNameCHILDRESSext_us_cms_npius-npi-1568848943
Person:nameCODY CHILDRESSext_us_cms_npius-npi-1568848943
Person:npiCode1568848943ext_us_cms_npius-npi-1568848943
Person:titleDR.ext_us_cms_npius-npi-1568848943
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