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Individual

MS. CONSTANCE ROSALIE LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
41 ACADEMY ST, HEALTH OFFICE, PINE PLAINS, NY 12567-5603
(518) 398-3000
(518) 398-1141
Mailing address
41 ACADEMY ST, HEALTH OFFICE, PINE PLAINS, NY 12567-5603
(518) 398-3000
(518) 398-1141

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
276694-1
NY

Other

Enumeration date
10/06/2011
Last updated
10/06/2011
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