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Individual

CAROL MARTUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1478 MURDOCK RD, LYNDONVILLE, NY 14098-9731
(585) 205-0504
Mailing address
PO BOX 568, LYNDONVILLE, NY 14098-0568
(585) 205-0504

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337381-01
NY

Other

Enumeration date
07/26/2022
Last updated
07/26/2022
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