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1144542705
JACQUELINE CLYBURN
BUFFALO, NY
NPI
1144542705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 00241484)
Enumeration Date
2010-02-24
Last Update Date
2010-02-24
Business Address
-- JACQUELINE CLYBURN LPN
73 MEECH AVE
BUFFALO, NY 14208-1029
Phone number: 716-565-3626
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Mailing Address
-- JACQUELINE CLYBURN LPN
215 BLAINE AVE
BUFFALO, NY 14208-1019
Phone number: 716-882-3746
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