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1205017902
MARILYN JANE LATES
HORNELL, NY
NPI
1205017902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric
(Licence: NY 188151-1)
Enumeration Date
2007-11-21
Last Update Date
2007-11-21
Business Address
-- MARILYN JANE LATES LPN
88 E MAIN ST
HORNELL, NY 14843-2074
Phone number: 607-324-5602
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Mailing Address
-- MARILYN JANE LATES LPN
88 E MAIN ST
HORNELL, NY 14843-2074
Phone number: 607-324-5602
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