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1184074288
MARY JO KISH
CHEEKTOWAGA, NY
NPI
1184074288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 307734)
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
-- MARY JO KISH NP
4225 GENESEE ST
CHEEKTOWAGA, NY 14225-1994
Phone number: 716-906-5908
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Mailing Address
-- MARY JO KISH NP
462 GRIDER ST
BUFFALO, NY 14215-3021
Phone number: 716-810-7999
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