Individual
MRS. CHRISTINALARISSA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TEACHER
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
127 KINGS PARK DR APT H, LIVERPOOL, NY 13090-2727
(315) 289-5758
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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