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| Name | MCDONOUGH CAROLE LEE |
|---|---|
| Address | BALLSTON SPANY |
| Profession | LICENSED PRACTICAL NURSING |
| License No | 066154 |
| Date of Licensure | 01/11/67 |
| Additional Qualification | Not applicable in this profession |
| Status | REGISTERED |
| Registered through last day of | 05/15 |