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1154368736
JAIME LARSEN KENNY
WEBSTER, NY
NPI
1154368736
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Other Name
JAIME LARSEN VAN FOSSAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: NY TUV006551)
Enumeration Date
2006-06-01
Last Update Date
2018-02-06
Business Address
Dr. JAIME LARSEN KENNY OD
1028 RIDGE RD STE 104 EMPIRE VISION CENTERS
WEBSTER, NY 14580-2973
Phone number: 585-872-2200
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Mailing Address
Dr. JAIME LARSEN KENNY OD
1028 RIDGE RD STE 104
WEBSTER, NY 14580-2975
Phone number: 315-445-7465
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