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Individual

ALLISON MARIE KOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11 PINECREST ROAD, WHITESBORO, NY 13492
(315) 542-5629
Mailing address
11 PINECREST ROAD, WHITESBORO, NY 13492
(315) 542-5629

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10307876
NY

Other

Enumeration date
07/30/2012
Last updated
07/30/2012
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