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1205388097
JUAN COLLAZO
ROCHESTER, NY
NPI
1205388097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 326926)
Enumeration Date
2016-10-27
Last Update Date
2016-10-27
Business Address
Mr. JUAN COLLAZO LPN
471 BERNARD ST
ROCHESTER, NY 14621-4917
Phone number: 585-532-1255
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Mailing Address
Mr. JUAN COLLAZO LPN
471 BERNARD ST
ROCHESTER, NY 14621-4917
Phone number: 585-532-1255
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