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Individual

COREEN CHAMBERLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
190 QUAKER RD, QUEENSBURY, NY 12804-1718
(518) 798-0262
(518) 761-9122
Mailing address
PO BOX 1000, MS3000, PORTLAND, ME 04104-5005
(207) 885-7454
(207) 396-2028

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053227
NY

Other

Enumeration date
04/09/2010
Last updated
04/09/2010
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