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Individual

CASEY SHEEHY-HOLBROOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1351 OLEAN PORTVILLE RD, OLEAN, NY 14760-9416
(716) 373-0057
(716) 373-7910
Mailing address
322 N 12TH ST, OLEAN, NY 14760-2009
(585) 596-9187

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
326918
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
161039939
ALL OTHER INSURANCES
NY
05
161039939
NY
Enumeration date
09/18/2024
Last updated
09/18/2024
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