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Individual

MRS. CLARA SUE BIGELOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
38 FRONT ST, SUITE D, BINGHAMTON, NY 13905-4712
(607) 722-6461
(607) 771-0116
Mailing address
38 FRONT ST, SUITE D, BINGHAMTON, NY 13905-4712
(607) 722-6461
(607) 771-0116

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2234991
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02589779
NY
Enumeration date
07/20/2007
Last updated
09/27/2012
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