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Individual

SHANNON L KRUEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2128 ELMWOOD AVE, BUFFALO, NY 14207-1910
(716) 874-5600
Mailing address
903 BRIGHTON RD, TONAWANDA, NY 14150-8100
(716) 464-3686

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
605831
NY

Other

Enumeration date
02/02/2010
Last updated
02/02/2010
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