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Individual

MRS. JUDITH LATHROP SAMSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
40 ARCH ST, JOHNSON CITY, NY 13790-2102
(607) 763-6209
(607) 763-6677
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 763-6209
(607) 763-6677

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
44297
NY
163WD0400X
Diabetes Educator Registered Nurse
Primary
44297
NY

Other

Enumeration date
03/27/2014
Last updated
04/01/2014
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