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1669619771
WANDA JEAN RUST
ROCHESTER, NY
NPI
1669619771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 10288352)
Enumeration Date
2009-01-12
Last Update Date
2009-01-12
Business Address
-- WANDA JEAN RUST lpn
15 LYEELWOOD PKWY APT B
ROCHESTER, NY 14606
Phone number: 585-563-7712
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Mailing Address
-- WANDA JEAN RUST lpn
15 LYELLWOOD PKWY APT B
ROCHESTER, NY 14606-4525
Phone number: 585-563-7712
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