Individual
CHERYL DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20773 REASONER RD, WATERTOWN, NY 13601-5270
(315) 408-4917
Mailing address
20773 REASONER RD, WATERTOWN, NY 13601-5270
(315) 408-4917
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
294743
NY
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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