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Individual

MR. DANIEL J UTTENDORFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
70 KUKUK LN, KINGSTON, NY 12401-6943
(845) 336-2616
(845) 336-3302
Mailing address
70 KUKUK LN, KINGSTON, NY 12401-6943
(845) 336-2616
(845) 336-3302

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
467495-1
NY

Other

Enumeration date
07/06/2010
Last updated
07/06/2010
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