Individual
SHIRLEY MAE RULISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 KENNEDY PKWY, CORTLAND, NY 13045-1409
(607) 753-9105
Mailing address
3642 CLINTON STREET EXT, MC GRAW, NY 13101-9443
(607) 836-4113
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
487245-1
NY
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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