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Individual

MRS. CHERI GALE HAYNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
706 LAWRENCE ST, WATERTOWN, NY 13601-1807
(315) 286-0900
Mailing address
706 LAWRANCE ST, WATERTOWN, NY 13601
(315) 286-0900

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290619
NY

Other

Enumeration date
09/03/2008
Last updated
09/03/2008
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