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1629804661
KATRINA MARIE PHANTHOURATH
ROCHESTER, NY
NPI
1629804661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 821813)
Enumeration Date
2024-09-09
Last Update Date
2024-09-09
Business Address
KATRINA MARIE PHANTHOURATH
48 GAWAINE LN
ROCHESTER, NY 14623-5536
Phone number: 585-530-7626
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Mailing Address
KATRINA MARIE PHANTHOURATH
48 GAWAINE LN
ROCHESTER, NY 14623-5536
Phone number:
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