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Organization

SHIRLEY A DICKINSON

Active
Other names
the natural look
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHIRLEY A DICKINSON (OWNER)
(315) 322-5584
Entity
Organization

Contact information

Practice address
1355 STATE HIGHWAY 345, POTSDAM, NY 13676-9658
(315) 322-5584
Mailing address
1355 STATE HIGHWAY 345, POTSDAM, NY 13676-3527
(315) 322-5584

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NY

Other

Enumeration date
02/19/2008
Last updated
02/19/2008
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