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1528803921
SHAVONTAE MCCLOUD
ROCHESTER, NY
NPI
1528803921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 350271)
Enumeration Date
2024-06-27
Last Update Date
2024-06-27
Business Address
SHAVONTAE MCCLOUD
332 HAWLEY ST
ROCHESTER, NY 14611-3610
Phone number: 585-483-6542
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Mailing Address
SHAVONTAE MCCLOUD
332 HAWLEY ST
ROCHESTER, NY 14611-3610
Phone number: 585-483-6542
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