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Individual

MRS. DIANE MARIE MARBAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
108 EDUCATION DR, SCHENECTADY, NY 12303-1238
(518) 881-2000
Mailing address
570 LANSING ST, SCHENECTADY, NY 12303-1124
(518) 881-3974
(518) 881-3975

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
4251241
NY

Other

Enumeration date
11/17/2011
Last updated
11/17/2011
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