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Individual

MIKEL WESTPHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
71 LYELL AVE, SPENCERPORT, NY 14559
Mailing address
1894 MANITOU RD, SPENCERPORT, NY 14559-9579
(585) 368-8218

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
672078
NY

Other

Enumeration date
02/06/2018
Last updated
02/06/2018
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