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1013505403
DIAMOND BOSTICK
ROCHESTER, NY
NPI
1013505403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 338211)
Enumeration Date
2021-01-02
Last Update Date
2021-01-02
Business Address
DIAMOND BOSTICK LPN
664 GRAND AVE
ROCHESTER, NY 14609-6537
Phone number: 585-957-6896
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Mailing Address
DIAMOND BOSTICK LPN
664 GRAND AVE
ROCHESTER, NY 14609-6537
Phone number:
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