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1538113816
SHIRLEY S MANDEVILLE
ROCHESTER, NY
NPI
1538113816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F331695-1)
Enumeration Date
2006-05-20
Last Update Date
2011-07-18
Business Address
-- SHIRLEY S MANDEVILLE FNP
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642-1413
Phone number: 585-276-3332
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Mailing Address
-- SHIRLEY S MANDEVILLE FNP
4879 RIVER RD
LEICESTER, NY 14481-9621
Phone number: 585-382-3804
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