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Individual

JOHN P LINEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
256 SUNSET LAKE RD, LIBERTY, NY 12754-2847
(845) 513-2012
(845) 513-2177
Mailing address
256 SUNSET LAKE RD, LIBERTY, NY 12754-2847
(845) 513-2012
(845) 513-2177

Taxonomy

Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
650365-1
NY

Other

Enumeration date
10/18/2017
Last updated
10/18/2017
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