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1649995747
CHRISTINE LESLIE PROVOST
ROCHESTER, NY
NPI
1649995747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 722626)
Enumeration Date
2022-10-11
Last Update Date
2022-10-11
Business Address
CHRISTINE LESLIE PROVOST RN
1099 JAY ST BLDG P
ROCHESTER, NY 14611-1164
Phone number: 585-325-3580
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Mailing Address
CHRISTINE LESLIE PROVOST RN
84 JAMES MOORE CIR
HILTON, NY 14468-9416
Phone number: 585-355-3149
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