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1003918400
SUE E. STALEY
CANANDAIGUA, NY
NPI
1003918400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F302271)
Enumeration Date
2006-09-05
Last Update Date
2013-12-13
Business Address
-- SUE E. STALEY
350 PARRISH ST
CANANDAIGUA, NY 14424-1731
Phone number: 585-396-6071
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Mailing Address
-- SUE E. STALEY
410 RYAN WAY
AVON, NY 14414-1462
Phone number: 585-438-4048
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