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Individual

KAREN LEIGH OVERDORF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3358 STATE ROUTE 19 N, WELLSVILLE, NY 14895-9542
(585) 610-8853
Mailing address
3358 STATE ROUTE 19 N, WELLSVILLE, NY 14895-9542
(585) 610-8853

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
258518
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0521
NY
Enumeration date
07/16/2018
Last updated
07/16/2018
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