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1275685216
JEAN HARRIS MANGOLD
ROCHESTER, NY
NPI
1275685216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY F381281)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
-- JEAN HARRIS MANGOLD PNP
2225 CLINTON AVE S
ROCHESTER, NY 14618-2623
Phone number: 585-256-2210
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Mailing Address
-- JEAN HARRIS MANGOLD PNP
49 PICKFORD DR
ROCHESTER, NY 14618-4017
Phone number: 585-442-9802
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