CASEY OWEN DONOVAN

FULTON, NY
NPI1326919424
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  357028)
Enumeration Date2025-09-13
Last Update Date2025-09-13
Business Address
-- CASEY OWEN DONOVAN
522 S 4TH ST STE 1700
FULTON, NY 13069-2918
Phone number: 315-592-3930
Mailing Address
-- CASEY OWEN DONOVAN
110 W 6TH ST
OSWEGO, NY 13126-2507
Phone number: 315-349-5511
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