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1720796121
KRISTA DIETERSHAGEN
ALBANY, NY
NPI
1720796121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 351110)
Enumeration Date
2022-11-14
Last Update Date
2023-05-15
Business Address
KRISTA DIETERSHAGEN FNP-BC
319 S MANNING BLVD STE 304
ALBANY, NY 12208-1744
Phone number: 518-525-5206
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Mailing Address
KRISTA DIETERSHAGEN FNP-BC
PO BOX 14890
ALBANY, NY 12212-4890
Phone number:
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