NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1578901906
CASERTA
LAURA
ANN
 
99 EAST STATE STREET
GLOVERSVILLE
NY
120780000
1669401022
YOUNG
POLLY
JANE
 
PO BOX 1250
GLOVERSVILLE
NY
12078
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