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Individual

MR. RICHARD DEMO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
109 FORD ST, OGDENSBURG, NY 13669-1419
(315) 394-0101
Mailing address
109 FORD ST, OGDENSBURG, NY 13669-1419
(315) 394-0101

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
530696
NY

Other

Enumeration date
06/10/2014
Last updated
06/10/2014
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