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MR. DAVID RICHARD STALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
1529 NYE RD, LYONS, NY 14489-9111
(315) 946-5673
(315) 946-5671
Mailing address
3241 WALWORTH RD, WALWORTH, NY 14568-9612
(315) 597-6961
(315) 597-6961

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
238424
NY

Other

Enumeration date
10/28/2008
Last updated
10/28/2008
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