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Individual

MRS. SANDRA MARIE VUILLEMOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
5995 SOUTH STREET RD, AUBURN, NY 13021-5652
(315) 253-0566
Mailing address
5995 SOUTH STREET RD, AUBURN, NY 13021-5652
(315) 253-0566

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
473977-1
NY

Other

Enumeration date
10/29/2012
Last updated
10/29/2012
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