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1053367573
GENEVA MODRAK
ROCHESTER, NY
NPI
1053367573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NY 419342)
Enumeration Date
2006-05-26
Last Update Date
2023-07-05
Business Address
GENEVA MODRAK CRNA
10 HAGEN DR
ROCHESTER, NY 14625-2660
Phone number: 585-367-8200
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Mailing Address
GENEVA MODRAK CRNA
PO BOX 2005
EAST SYRACUSE, NY 13057-4505
Phone number: 315-449-0513
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