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Individual

MRS. ZETRA COLETTE BRUSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
37 EAGLE WAY, WEST CHAZY, NY 12992-2562
(518) 562-8250
Mailing address
3 UNDERWOOD AVE, PLATTSBURGH, NY 12901-3625
(518) 335-3773

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
550619
NY

Other

Enumeration date
09/29/2016
Last updated
09/29/2016
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