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1275836777
PETEL B FAGAN
ROCHESTER, NY
NPI
1275836777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 303492)
Enumeration Date
2010-12-06
Last Update Date
2010-12-06
Business Address
Mrs. PETEL B FAGAN
54 JENNIFER CIR
ROCHESTER, NY 14606-3350
Phone number: 585-754-3391
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Mailing Address
Mrs. PETEL B FAGAN
54 JENNIFER CIR
ROCHESTER, NY 14606-3350
Phone number: 585-754-3391
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