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Individual

MS. MARLENE M GUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
76 VETERANS AVE, BATH, NY 14810-0810
(607) 664-4000
Mailing address
76 VETERANS AVE, BATH, NY 14810-0810
(607) 664-4000

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302144
NY

Other

Enumeration date
07/19/2006
Last updated
07/08/2007
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