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Individual

ANGELA N DEGRAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
239 CAYUGA ST, UNION SPRINGS, NY 13160-3107
(315) 889-4128
(315) 889-4133
Mailing address
239 CAYUGA ST, UNION SPRINGS, NY 13160-3107
(315) 889-4128
(315) 889-4133

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
580760-1
NY

Other

Enumeration date
12/16/2011
Last updated
12/16/2011
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