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Individual provider · Licensed Practical Nurse · Utica, NY

NPI

1972809887

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

303126 (NY)

Sex

Female

Sole proprietor

No

Enumerated

2011-02-10

Last updated

2011-02-14