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1366771750
TRACY LYNN CLARK
ROCHESTER, NY
NPI
1366771750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 292811-1)
Enumeration Date
2009-12-14
Last Update Date
2012-10-22
Business Address
-- TRACY LYNN CLARK
2 BACKUS ST
ROCHESTER, NY 14608
Phone number: 585-647-1314
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Mailing Address
-- TRACY LYNN CLARK
2 BACKUS ST
ROCHESTER, NY 14608-1019
Phone number: 585-647-1314
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