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1073659868
TRACIE CELESTE IRVIN
ROCHESTER, NY
NPI
1073659868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 208170-1)
Enumeration Date
2007-01-29
Last Update Date
2007-07-09
Business Address
Ms. TRACIE CELESTE IRVIN LPN
69 ENTERPRISE ST
ROCHESTER, NY 14619-2050
Phone number: 585-328-2413
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Mailing Address
Ms. TRACIE CELESTE IRVIN LPN
69 ENTERPRISE ST
ROCHESTER, NY 14619-2050
Phone number: 585-328-2413
Copy
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