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Individual

BERNADETTE DRAGOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PHN

Contact information

Practice address
355 W MAIN ST, MALONE, NY 12953-1827
(518) 481-1716
(518) 483-9378
Mailing address
355 W MAIN ST, MALONE, NY 12953-1827
(518) 481-1716
(518) 483-9378

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
505093
CA
171M00000X
Case Manager/Care Coordinator
547071
NY

Other

Enumeration date
03/08/2007
Last updated
07/25/2012
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