Individual
KATIE LEE BUSSIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-2233
Mailing address
42 BORDEN AVE, PERRY, NY 14530-1316
(585) 406-5059
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
699686
NY
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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