Anna E Bogutski

NPI 1790012045 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1790012045
Gender Female
Enumeration Date 11/06/2009
Last Updated 11/06/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3242 DAYSPRING RDG
WALWORTH NY, 14568-9566, US
Phone (585) 752-9722
Fax
Business Location
3242 DAYSPRING RDG
WALWORTH NY, 14568, US
Phone (585) 479-7147
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 292370-1
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According to our database, Mrs. Anna E Bogutski NPI is 1790012045, taxonomy code is 164W00000X and license number is 292370-1, license state is located at New York. Anna E Bogutski physically located at 3242 Dayspring Rdg, Walworth NY, 14568-9566. NPI Number Anna E Bogutski has the Individual type.

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1790012045 NPI number is provided on an as is basis without warranty of any kind. 1790012045 is maintained by the National Plan & Provider Enumeration System. The contents of Anna E Bogutski are for informational purposes only.