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Jack L. Donaldson
Student in an Organized Health Care Education/Training Program in Camillus, New York
NPI 1346000379

Jack L. Donaldson is a Student in an Organized Health Care Education/Training Program based in Camillus, NY. Jack L. Donaldson practices in Camillus, NY. The NPI Number for Jack L. Donaldson is 1346000379 and holds a License No. (New York).

The current practice location address for Jack L. Donaldson is 4997 Stagecoach Rd, Camillus, NY and can be reached out via phone at 315-744-0861.

Location: 4997 Stagecoach Rd, Camillus, NY, 13031-9774
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346000379
Provider Name
Jack L. Donaldson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4997 Stagecoach Rd, Camillus, NY, 13031-9774
Phone Number
315-744-0861
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
4997 Stagecoach Rd
City
Camillus
State
New York
Zip
13031-9774
Phone Number
315-744-0861
Fax Number
person
Provider Business Mailing Address Details
Address
4997 Stagecoach Rd
City
Camillus
State
New York
Zip
13031-9774
Phone Number
315-744-0861
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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