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Individual

STEPHANIE BOTELHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11849 E CORNING RD, CORNING, NY 14830-3695
(607) 962-0102
Mailing address
12 DEERBORNE LN, SPENCERPORT, NY 14559-1858
(585) 314-0788

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
605647-1
NY
163WP2201X
Ambulatory Care Registered Nurse
Primary
605647
NY

Other

Enumeration date
10/05/2010
Last updated
11/20/2022
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