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Individual

CAMILLE MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
99 E STATE ST, GLOVERSVILLE, NY 12078-1293
(518) 773-5541
Mailing address
511 ALBANY AVE, OGDENSBURG, NY 13669-2415

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
012568-01
NY
225100000X
Physical Therapist
Primary
051687
NY

Other

Enumeration date
02/23/2021
Last updated
01/09/2024
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