Individual
BABETTE MICHELLE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 PLEASANT AVE, TUPPER LAKE, NY 12986-1419
(518) 359-3378
(518) 359-9424
Mailing address
563 DEERLAND RD, PO BOX 68, LONG LAKE, NY 12847-0068
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
039550
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00666711
—
NY
Enumeration date
12/13/2007
Last updated
12/13/2007
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