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1124084090
MAXINE KIDDER
LOCKPORT, NY
NPI
1124084090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY 380525)
Enumeration Date
2006-04-21
Last Update Date
2007-07-08
Business Address
-- MAXINE KIDDER P.N.P.
139 PROFESSIONAL PKWY
LOCKPORT, NY 14094-5369
Phone number: 716-433-6711
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Mailing Address
-- MAXINE KIDDER P.N.P.
139 PROFESSIONAL PKWY
LOCKPORT, NY 14094-5369
Phone number: 716-433-6711
Copy
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