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1407360746
SHANITA POWELL
ROCHESTER, NY
NPI
1407360746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 330887)
Enumeration Date
2017-11-22
Last Update Date
2017-11-22
Business Address
SHANITA POWELL
59 ELLICOTT ST
ROCHESTER, NY 14619-2043
Phone number: 585-721-5851
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Mailing Address
SHANITA POWELL
59 ELLICOTT ST
ROCHESTER, NY 14619-2043
Phone number:
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