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CLEMENTINE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ADULT NP

Contact information

Practice address
1205 TROY SCHENECTADY RD STE 101, LATHAM, NY 12110-1074
(518) 348-3176
Mailing address
3217 PHILLIP ST, SCHENECTADY, NY 12306-1420
(617) 838-5375

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307173
NY

Other

Enumeration date
01/22/2015
Last updated
10/24/2019
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