Catherine J Clark LPN

NPI 1538456751 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1538456751
Gender Female
Enumeration Date 07/08/2011
Last Updated 07/08/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
111 PORT WATSON ST
CORTLAND NY, 13045-3157, US
Phone (607) 753-9326
Fax (607) 756-8458
Business Location
111 PORT WATSON ST
CORTLAND NY, 13045-3157, US
Phone (607) 753-9326
Fax (607) 756-8458
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 260610-1
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According to our database, Catherine J Clark LPN NPI is 1538456751, taxonomy code is 164W00000X and license number is 260610-1, license state is located at New York. Catherine J Clark LPN physically located at 111 Port Watson St, Cortland NY, 13045-3157. NPI Number Catherine J Clark LPN has the Individual type.

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1538456751 NPI number is provided on an as is basis without warranty of any kind. 1538456751 is maintained by the National Plan & Provider Enumeration System. The contents of Catherine J Clark LPN are for informational purposes only.