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Individual

MRS. ERICA KNEELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
108 NORTH ST, ELBRIDGE, NY 13060-4102
(315) 857-4565
Mailing address
108 NORTH ST, ELBRIDGE, NY 13060-4102
(315) 857-4565

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
621883
NY

Other

Enumeration date
10/26/2011
Last updated
10/26/2011
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