Individual
MRS. CRYSTAL RUTH O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSA
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
1693 COUNTY ROUTE 41, PULASKI, NY 13142-2141
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1114966
NC
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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