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Individual
MRS. SARAH PHELAN
Active
Individual
MRS. SARAH PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
656061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
890337425
EMPIRE GOVERNMENT
NY
Enumeration date
03/30/2016
Last updated
03/30/2016
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