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Individual

MS. BARBARA A BURGOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
214 WALSH AVE, NEW WINDSOR, NY 12553-5749
(845) 561-2644
Mailing address
214 WALSH AVE, NEW WINDSOR, NY 12553-5749
(845) 561-2644

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302958
NY

Other

Enumeration date
06/12/2014
Last updated
06/12/2014
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