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Christine J Mayer, LPN

Licensed Practical Nurse in Oswego, NY. Individual provider (NPI-1).

NPI number1376874875
StatusActive
Last updated in NPPESJan 22, 2010

Details

NPI
1376874875
Entity type
Individual (NPI-1)
Name
Christine J Mayer
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 22, 2010
Last updated
Jan 22, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse071519NYYes

Practice location

16471 W Lake Rd
Oswego, NY 13126-7003

Phone 315-343-2347

Mailing address

16471 W Lake Rd
Oswego, NY 13126-7003

Phone 315-343-2347

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