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Individual

ALICE SHUFELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1400 NOYES ST, UTICA, NY 13502-3854
(315) 738-6142
Mailing address
1400 NOYES ST, UTICA, NY 13502-3854
(315) 738-6142

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
522118-1
NY

Other

Enumeration date
11/06/2015
Last updated
11/06/2015
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