MICHAEL WILLIAM DEFORREST

AUBURN, NY
NPI1073096277
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY  720937)
Enumeration Date2018-09-13
Last Update Date2018-09-13
Business Address
MICHAEL WILLIAM DEFORREST RN
146 NORTH ST
AUBURN, NY 13021-3543
Phone number: 315-253-0341
Mailing Address
MICHAEL WILLIAM DEFORREST RN
146 NORTH ST
AUBURN, NY 13021-3543
Phone number: 315-253-0341
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