Individual
CAITLIN KEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 FREDERICK ST., ILION, NY 13357
(315) 894-8420
Mailing address
111 FREDERICK ST., ILION, NY 13407
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
647010
NY
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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