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MARK BENGOUGH

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1659706356

Individual Registrant:
 MARK  BENGOUGH 
Gender: M
Sole Proprietor

Location and contact information for practice:
2701 ROUTE 12B  DEANSBORO, NY 13328 US
Tel: 315-797-1115  Fax: --

Contact information for business:
2701 ROUTE 12B  DEANSBORO, NY 13328 US
Tel: --  Fax: --

Registration Information:
NPI: 1659706356
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
NY7597567

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS NY - Page 1



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