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Kelly Marie Labouf
Licensed Practical Nurse in Waterloo, New York
NPI 1346777612

Kelly Marie Labouf is a Licensed Practical Nurse based in Waterloo, NY. Kelly Marie Labouf practices in Waterloo, NY. The NPI Number for Kelly Marie Labouf is 1346777612 and holds a License No. 284963 (New York).

The current practice location address for Kelly Marie Labouf is 393 Wagner St Lot 81, Waterloo, NY and can be reached out via phone at 607-662-5705 and via fax at 607-662-5705.

Location: 393 Wagner St Lot 81, Waterloo, NY, 13165-6709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346777612
Provider Name
Kelly Marie Labouf
Credential
Provider Entity Type
Individual
Gender
Female
Address
393 Wagner St Lot 81, Waterloo, NY, 13165-6709
Phone Number
607-662-5705
Fax Number
607-662-5705
Provider Enumeration Date
05/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
393 Wagner St Lot 81
City
Waterloo
State
New York
Zip
13165-6709
Phone Number
607-662-5705
Fax Number
607-662-5705
person
Provider Business Mailing Address Details
Address
393 Wagner St Lot 81
City
Waterloo
State
New York
Zip
13165-6709
Phone Number
607-662-5705
Fax Number
607-662-5705
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
284963 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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