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Individual

SAMANTHA RAE MACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6678 COUNTY ROAD 32, NORWICH, NY 13815-3502
(607) 335-1248
Mailing address
1972 COUNTY ROAD 39, BAINBRIDGE, NY 13733-4206
(607) 226-3112

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
822383
NY

Other

Enumeration date
01/17/2023
Last updated
01/17/2023
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