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1063691533
GLEN DALE BRADY
ROCHESTER, NY
NPI
1063691533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 231182-1)
Enumeration Date
2007-10-31
Last Update Date
2007-10-31
Business Address
Mr. GLEN DALE BRADY L.P.N
78 WILLMONT ST
ROCHESTER, NY 14609-3620
Phone number: 585-288-6598
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Mailing Address
Mr. GLEN DALE BRADY L.P.N
78 WILLMONT ST
ROCHESTER, NY 14609-3620
Phone number: 585-288-6598
Copy
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