Individual
AMANDA DUNBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 LORMORE ST, ELMIRA, NY 14904-1415
(607) 732-1276
Mailing address
250 LORMORE ST, ELMIRA, NY 14904-1415
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307815
NY
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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