Individual
COURTNEY DOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 JAMIE LYNN DR, CHURCHVILLE, NY 14428
(585) 491-1776
Mailing address
8 JAMIE LYNN DR, CHURCHVILLE, NY 14428-9752
(585) 491-1776
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302547
NY
Other
Enumeration date
07/26/2014
Last updated
09/11/2021
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