Individual
DEBRA LYNN HANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
297 LAKE RD, STAR LAKE, NY 13690-3138
(315) 848-2573
Mailing address
297 LAKE RD, STAR LAKE, NY 13690-3138
(315) 848-2573
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
473459-1
NY
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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