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Individual

MS. ALICE MARGARET BUBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CASAC

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
3580931
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02200358093
NY
Enumeration date
09/12/2007
Last updated
09/12/2007
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