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Individual

MRS. APRIL CHARLENE WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
195 MCGOWAN RD, NORTH BANGOR, NY 12966-0000
(518) 483-8289
Mailing address
195 MC GOWAN RD, NORTH BANGOR, NY 12966-1811
(518) 483-8282

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
251907-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02575762
NY
Enumeration date
07/17/2008
Last updated
07/17/2008
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