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1003061839
TRUDY JOHNETTE MACK
ROCHESTER, NY
NPI
1003061839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 284904)
Enumeration Date
2008-11-20
Last Update Date
2008-11-20
Business Address
Mrs. TRUDY JOHNETTE MACK LPN
165 N. WATER STREET APT. 205
ROCHESTER, NY 14604
Phone number: 585-286-0097
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Mailing Address
Mrs. TRUDY JOHNETTE MACK LPN
165 N. WATER STREET APT. 205
ROCHESTER, NY 14604
Phone number: 585-286-0097
Copy
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