EVANDER CONZEL RUSS

GENEVA, NY
NPI1457820631
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  334018)
Enumeration Date2018-11-17
Last Update Date2018-11-17
Business Address
EVANDER CONZEL RUSS LPN
23 NORTH AVE
GENEVA, NY 14456-1127
Phone number: 585-438-1089
Mailing Address
EVANDER CONZEL RUSS LPN
23 NORTH AVE
GENEVA, NY 14456-1127
Phone number: 585-438-1089
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