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Individual

MRS. SUE W SPIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.H.

Contact information

Practice address
2 RUBIN DR, RUSHVILLE, NY 14544-9681
(585) 554-6824
Mailing address
1839 LOVEJOY RD, PENN YAN, NY 14527-9222
(315) 536-8464

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
010318
NY

Other

Enumeration date
04/02/2007
Last updated
07/08/2007
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