Individual
AGNES S DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
650 FRANKLIN ST, SUITE 102, SCHENECTADY, NY 12305-2168
(518) 374-2117
(518) 374-2426
Mailing address
650 FRANKLIN ST, SUITE 102, SCHENECTADY, NY 12305-2168
(518) 374-2117
(518) 374-2426
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0946411
NY
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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