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Individual

JUSTINE CARUSONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14 DIVISION ST, FORT PLAIN, NY 13339-1313
(518) 268-0421
Mailing address
14 DIVISION ST, FORT PLAIN, NY 13339-1313
(518) 268-0421

Taxonomy

Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
1597292221
NY

Other

Enumeration date
06/09/2022
Last updated
06/09/2022
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