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Individual

BRUCE M MOSELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
17 CRONIN RD, STE C, QUEENSBURY, NY 12804-1418
(518) 615-0056
(518) 615-0059
Mailing address
5 SAGAMORE ST, SUITE B, GLENS FALLS, NY 12801-3115
(518) 615-0056
(518) 615-0059

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0020861
NY

Other

Enumeration date
11/09/2005
Last updated
07/08/2007
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