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Individual

BABITA K. MAHATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
110 WELLS FARM RD, GOSHEN, NY 10924
(559) 540-3238
Mailing address
110 WELLS FARM RD, GOSHEN, NY 10924-6740

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
755977
NY

Other

Enumeration date
01/31/2019
Last updated
01/29/2020
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