DIANE O BULLOCK

ROCHESTER, NY
NPI1417286535
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  210139-1)
Enumeration Date2009-12-19
Last Update Date2009-12-19
Business Address
-- DIANE O BULLOCK LPN
2660 CHILI AVE BLDG 28 APT 14
ROCHESTER, NY 14624-4101
Phone number: 585-490-3369
Mailing Address
-- DIANE O BULLOCK LPN
PO BOX 17523
ROCHESTER, NY 14617-0523
Phone number: 585-490-3369
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