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1790439297
DOROTHY ADHIAMB0 MAUNDA
POTSDAM, NY
NPI
1790439297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F403984-01)
Enumeration Date
2022-02-04
Last Update Date
2022-05-06
Business Address
DOROTHY ADHIAMB0 MAUNDA
84 WAVERLY ST
POTSDAM, NY 13676-1607
Phone number: 315-261-3541
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Mailing Address
DOROTHY ADHIAMB0 MAUNDA
77 W BARNEY ST
GOUVERNEUR, NY 13642-1040
Phone number: 315-287-1000
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