Mickey Mcavoy, LPN

NPI #1164497392 in Jamestown, New York

Provider Information

NPI Number
1164497392
Entity Type
Individual
Name
Mickey Mcavoy, LPN
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Feb 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
890 E 2ND ST
ZIP Code
14701-3824
Phone
(716) 661-1447

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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