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Individual

DEIRDRE WAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
98 N 2ND ST, FULTON, NY 13069-1254
(315) 668-1202
(315) 668-5268
Mailing address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5511
(315) 349-5921

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F343051
NY

Other

Enumeration date
08/15/2018
Last updated
03/29/2023
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