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1669032116
PRISCELA LIZETTE KUGBLENU
LOUDONVILLE, NY
NPI
1669032116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 025029)
Enumeration Date
2019-06-17
Last Update Date
2023-06-01
Business Address
PRISCELA LIZETTE KUGBLENU PA-C
407 ALBANY SHAKER RD
LOUDONVILLE, NY 12211-1900
Phone number: 518-435-1300
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Mailing Address
PRISCELA LIZETTE KUGBLENU PA-C
106 N PINE AVE APT 2
ALBANY, NY 12203-1737
Phone number: 518-512-6321
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