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Individual

CEANDRA Z MCCALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
249 GLENWOOD RD BLDG 1, BINGHAMTON, NY 13905-1603
(607) 296-3072
Mailing address
310 OAK HILL AVE, ENDICOTT, NY 13760-2814
(347) 416-0024

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317020
NY

Other

Enumeration date
02/04/2014
Last updated
08/12/2024
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