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1467064196
CARLY JARDINE
ROCHESTER, NY
NPI
1467064196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 403248)
Enumeration Date
2020-08-24
Last Update Date
2020-11-04
Business Address
CARLY JARDINE NP
224 ALEXANDER ST
ROCHESTER, NY 14607-4000
Phone number: 585-922-7770
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Mailing Address
CARLY JARDINE NP
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-922-7770
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