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Individual

JULIE DOTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
30 BONADONNA AVE, MOUNT MORRIS, NY 14510-1439
(585) 658-5000
Mailing address
30 BONADONNA AVE, MOUNT MORRIS, NY 14510-1439
(585) 658-5000

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22682147
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01368845
NY
Enumeration date
09/25/2014
Last updated
09/25/2014
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