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Organization
SMALL TOWN HEALTH CARE JENNIFER FACTEAU-RABIDEAU RN, ADULT HEALTH NP-C
Active
Organization
SMALL TOWN HEALTH CARE JENNIFER FACTEAU-RABIDEAU RN, ADULT HEALTH NP-C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER AMBER FACTEAU-RABIDEAU ANP-C (OWNER)
(518) 310-3090
Entity
Organization
Contact information
Practice address
345 CORNELIA ST, PLATTSBURGH, NY 12901-2377
(518) 310-3090
(518) 310-3094
Mailing address
345 CORNELIA ST, PLATTSBURGH, NY 12901-2377
(518) 310-3090
(518) 310-3094
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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