Individual
DEANNA L GORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1968 GREENVILLE TPKE, PORT JERVIS, NY 12771-3248
(854) 672-9322
Mailing address
1968 GREENVILLE TPKE, PORT JERVIS, NY 12771-3248
(845) 672-9322
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
369594
NY
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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