Individual
MS. MARILYNN JANE HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2212 SH 184, HEUVELTON, NY 13654
(315) 344-7945
Mailing address
2212 SH 184, HEUVELTON, NY 13654
(315) 344-7945
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1393691
NY
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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