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1306486444
STEPHANIE CLARK
ROCHESTER, NY
NPI
1306486444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 335764-01)
Enumeration Date
2020-01-07
Last Update Date
2020-01-07
Business Address
STEPHANIE CLARK
636 CLAY AVE UPPR
ROCHESTER, NY 14613-1030
Phone number: 716-208-4601
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Mailing Address
STEPHANIE CLARK
636 CLAY AVE UPPR
ROCHESTER, NY 14613-1030
Phone number: 716-208-4601
Copy
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