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1639606981
JENNIFER SUZANNE VILLA
FAIRPORT, NY
NPI
1639606981
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Former Name
JENNIFER SUZANNE LONG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: NY 005978)
Enumeration Date
2017-05-17
Last Update Date
2020-05-07
Business Address
Mrs. JENNIFER SUZANNE VILLA L.AC
625 AYRAULT RD
FAIRPORT, NY 14450-3076
Phone number: 585-465-1056
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Mailing Address
Mrs. JENNIFER SUZANNE VILLA L.AC
1507 PROVIDENCE DR
WEBSTER, NY 14580-9492
Phone number: 315-730-5175
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