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Individual

MRS. CHRISTINE L WOODWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
500 FAIRGROUND RD, WEST WINFIELD, NY 13491-2006
(315) 822-2928
(315) 822-3486
Mailing address
500 FAIRGROUND RD, WEST WINFIELD, NY 13491-2006
(315) 822-2928
(315) 822-3486

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
287068-1
NY

Other

Enumeration date
12/20/2011
Last updated
12/20/2011
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