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1174038046
ODELL UPSHAW
ROCHESTER, NY
NPI
1174038046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 327329-1)
Enumeration Date
2017-12-13
Last Update Date
2017-12-13
Business Address
ODELL UPSHAW
85 MEIGS ST APT 1A
ROCHESTER, NY 14607-2054
Phone number: 585-448-8539
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Mailing Address
ODELL UPSHAW
85 MEIGS ST APT 1A
ROCHESTER, NY 14607-2054
Phone number: 585-448-8539
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