Provider Information for 1922551191
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DEBORAH LABOUNTY
Sex: Female
NPI: 1922551191
Last Updated: 2016-07-25
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1922551191 | ||||||||
| Enumeration Date | 2016-07-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 227 THORN AVE ORCHARD PARK, NY 14127-2600 United States Phone: 716-662-2040 | Fax:716-662-0019 | ||||||||
| Primary Practice Address | 34 N MAIN ST WARSAW, NY 14569-1326 United States Phone: 585-786-0220 | Fax:585-786-3631 | ||||||||
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