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Individual

TATYANA DURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17 ZIG ZAG LN, 17 ZIG ZAG LANE, DAMASCUS, PA 18415-3583
(570) 224-4242
Mailing address
17 ZIG ZAG LANE DAMASCUS PA 18415-3583, 17 ZIG ZAG LANE DAMASCUS PA 18415-3583, DAMASCUS, PA 18415-3583
(570) 224-4242

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
685453-1
NY
164X00000X
Licensed Vocational Nurse
685453-1
NY

Other

Enumeration date
08/31/2016
Last updated
08/31/2016
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