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Individual

CHRISTINE MARY BURKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
131 FOUNTAIN VIEW ST, CLINTON, NY 13323-3946
(315) 939-9050
Mailing address
131 FOUNTAIN VIEW ST, CLINTON, NY 13323-3946
(315) 939-9050

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
06/23/2021
Last updated
06/23/2021
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