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Individual

DAWN M LAROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
113 SCHUYLER ST, FULTON, NY 13069-1652
(315) 887-5156
(315) 887-5163
Mailing address
29 E 5TH ST, OSWEGO, NY 13126-1140
(315) 329-1646

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319149-1
NY

Other

Enumeration date
06/03/2020
Last updated
06/03/2020
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