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Individual

MS. MARY JO SHORTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
49 GRANT ST, CORTLAND, NY 13045-2136
(607) 753-6751
(607) 756-4306
Mailing address
PO BOX 118, MC GRAW, NY 13101-0118
(607) 758-6110
(607) 758-6116

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
552969
NY

Other

Enumeration date
03/26/2010
Last updated
03/26/2010
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