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1073688875
LAURIE ANN WIESE
FAIRPORT, NY
NPI
1073688875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: NY 021047)
Enumeration Date
2006-11-21
Last Update Date
2007-07-08
Business Address
Miss LAURIE ANN WIESE PT
790 AYRAULT RD
FAIRPORT, NY 14450
Phone number: 585-425-1018
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Mailing Address
Miss LAURIE ANN WIESE PT
790 AYRAULT RD
FAIRPORT, NY 14450
Phone number: 585-425-1018
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