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1205163326
SHANITA SIMONE POLK
ROCHESTER, NY
NPI
1205163326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 272314-1)
Enumeration Date
2009-11-10
Last Update Date
2009-11-10
Business Address
Ms. SHANITA SIMONE POLK LPN
48 HARWIN DR
ROCHESTER, NY 14623-4716
Phone number: 585-334-9357
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Mailing Address
Ms. SHANITA SIMONE POLK LPN
48 HARWIN DR
ROCHESTER, NY 14623-4716
Phone number: 585-334-9357
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