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Individual

MICHELLE BRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 393-3600
Mailing address
9 S JOHN ST, GOUVERNEUR, NY 13642-1447
(315) 486-2400

Taxonomy

Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
F33961
NY

Other

Enumeration date
07/07/2015
Last updated
07/07/2015
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