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Individual

MS. DONNA O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
25 MUD RD, SETAUKET, NY 11733-1400
(631) 730-4710
(631) 730-4752
Mailing address
25 MUD RD, SETAUKET, NY 11733-1400
(631) 730-4710

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
370451-1
NY

Other

Enumeration date
12/23/2011
Last updated
12/23/2011
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