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Individual

ANDREA M HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
150 LAKE ST, ELMIRA, NY 14901-3401
(607) 737-5215
(607) 737-5219
Mailing address
104 CHERYL ST, ELMIRA, NY 14903-1004
(607) 737-5215
(607) 737-5219

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
593725
NY

Other

Enumeration date
10/20/2014
Last updated
11/20/2014
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