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Individual

DENISE RANDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
51 BURDEN DR, OSWEGO, NY 13126-4127
(315) 402-6234

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
757041971
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103TS0200X
NY
Enumeration date
03/09/2015
Last updated
03/09/2015
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