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Individual

KATHERINE JEAN CHURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MCAT

Contact information

Practice address
39 DUNCAN ST, WARSAW, NY 14569-1017
(585) 786-0190
(585) 786-0196
Mailing address
39 DUNCAN ST, WARSAW, NY 14569-1017
(585) 786-0190
(585) 786-0196

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/09/2013
Last updated
04/09/2013
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