Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Nov 10, 2010
License(s)
F335928 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2732 ROODS CREEK RD # B-17 | Hancock, NY 13783-1855 | 607-621-8702 |
| LOCATION | 2732 ROODS CREEK RD # B-17 | Hancock, NY 13783-1855 | 607-621-8702 |
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