Individual
JULIE A SOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HYG
Contact information
Practice address
60 MAIN ST, PORT BYRON, NY 13140-9767
(315) 776-9700
Mailing address
601B W WASHINGTON ST, GENEVA, NY 14456-2119
(315) 781-8448
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020711
NY
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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