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1174346274
KEISHONTA LAWRENCE
BUFFALO, NY
NPI
1174346274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 306926)
Enumeration Date
2024-11-06
Last Update Date
2024-11-06
Business Address
KEISHONTA LAWRENCE
20 VAN GORDER ST
BUFFALO, NY 14214-2818
Phone number: 716-578-6309
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Mailing Address
KEISHONTA LAWRENCE
20 VAN GORDER ST
BUFFALO, NY 14214-2818
Phone number: 716-578-6309
Copy
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