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1962573147
PATRICIA LOUISE SELLEVOLD
VESTAL, NY
NPI
1962573147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: NY F420284-1)
Enumeration Date
2006-11-10
Last Update Date
2007-07-08
Business Address
Ms. PATRICIA LOUISE SELLEVOLD NP
401 CRESCENT LN
VESTAL, NY 13850-2611
Phone number: 607-754-4836
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Mailing Address
Ms. PATRICIA LOUISE SELLEVOLD NP
401 CRESCENT LN
VESTAL, NY 13850-2611
Phone number: 607-754-4836
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