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MRS. JENNIFER LYNN BATES

Prosthetics Case Management >> Specialist >> Other Service Providers

Registrant NPI Number: 1639311228

Individual Registrant:
MRS. JENNIFER LYNN BATES 
Gender: F
Sole Proprietor

Location and contact information for practice:
452 CAMBY RD  VERBANK, NY 12585-5304 US
Tel: 845-677-0031  Fax: --

Contact information for business:
1110 ROUTE 55  LAGRANGEVILLE, NY 12540-5045 US
Tel: 845-473-8445  Fax: --

Registration Information:
NPI: 1639311228
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1744P3200XOther Service Providers
Specialist
Prosthetics Case Management
NY692963

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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