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Individual

AUDREY KASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17 HAYS AVE, KIRKWOOD, NY 13795-1418
(607) 761-7111
Mailing address
91 MOUNTAIN VISTA LN, GREAT BEND, PA 18821-9547

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN283731
PA

Other

Enumeration date
06/04/2019
Last updated
06/04/2019
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