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1114495736
TABITHA DOMONIQUE GRIFFIN
ROCHESTER, NY
NPI
1114495736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 331068)
Enumeration Date
2018-11-13
Last Update Date
2018-11-13
Business Address
Ms. TABITHA DOMONIQUE GRIFFIN
55 FORTHILL TERRACE
ROCHESTER, NY 14620
Phone number: 585-615-3822
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Mailing Address
Ms. TABITHA DOMONIQUE GRIFFIN
55 FORT HILL TER
ROCHESTER, NY 14620-4243
Phone number: 585-615-3822
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