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Individual

MARCI DENISE MEYBOHM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
15 WESTVIEW TER, POUGHKEEPSIE, NY 12603-4348
(845) 462-5471
Mailing address
15 WESTVIEW TER, POUGHKEEPSIE, NY 12603-4348

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
513313-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02692919
NY
Enumeration date
05/17/2007
Last updated
07/08/2007
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