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Individual

TERESA ANNE BRANNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1466 COUNTY ROUTE 29, OLMSTEDVILLE, NY 12857
(518) 251-2000
Mailing address
404 IRISHTOWN RD, OLMSTEDVILLE, NY 12857-2110
(518) 524-6685

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
633485
NY

Other

Enumeration date
08/31/2023
Last updated
08/31/2023
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