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Individual

MRS. UZELLA N SCOVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4743 CLARK RD, CINCINNATUS, NY 13040-2156
(607) 863-3772
Mailing address
4743 CLARK RD, CINCINNATUS, NY 13040-2156
(607) 863-3772

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
475904
NY

Other

Enumeration date
10/01/2008
Last updated
08/28/2014
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