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Individual

MRS. JENNIFER LAUREN WHITMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
367 E MAIN ST, WATERLOO, NY 13165-1662
(315) 787-4977
Mailing address
4214 TEALL BCH, GENEVA, NY 14456-9278
(315) 719-1945

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
310265
NY

Other

Enumeration date
06/19/2021
Last updated
07/08/2021
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