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1235957101
SHEA N GOULD
WATERTOWN, NY
NPI
1235957101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 350842)
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
SHEA N GOULD LPN
611 W MAIN ST
WATERTOWN, NY 13601-1337
Phone number: 315-788-1530
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Mailing Address
SHEA N GOULD LPN
482 BLACK RIVER PKWY
WATERTOWN, NY 13601-2416
Phone number: 315-782-1777
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