Individual
DAWN DEETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 E LAMOKA AVE, UNIT C, SAVONA, NY 14879-9714
(607) 329-1019
Mailing address
105 E LAMOKA AVE, UNIT C, SAVONA, NY 14879-9714
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296594-1
NY
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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