Individual
MRS. CAITLIN L PUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12125 OSWEGO ST, WOLCOTT, NY 14590-1207
(315) 879-5204
Mailing address
12125 OSWEGO ST, WOLCOTT, NY 14590-1207
(315) 879-5204
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
298925
NY
Other
Enumeration date
09/18/2013
Last updated
09/19/2013
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