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Individual

MS. CHRISTINE MARIE DELONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN LICENSE

Contact information

Practice address
29 WENDY DR, POUGHKEEPSIE, NY 12603-6017
(845) 298-2176
(845) 298-2176
Mailing address
PO BOX 400, HYDE PARK, NY 12538-0400
(845) 453-8843

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1776861
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01455361
NY
Enumeration date
01/31/2007
Last updated
07/09/2007
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