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1669797726
TYASHA C BLAKE
ROCHESTER, NY
NPI
1669797726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 10-290990)
Enumeration Date
2010-04-01
Last Update Date
2010-04-01
Business Address
Miss TYASHA C BLAKE LPN
58 SHERWOOD AVE
ROCHESTER, NY 14619-1110
Phone number: 585-254-3693
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Mailing Address
Miss TYASHA C BLAKE LPN
58 SHERWOOD AVE
ROCHESTER, NY 14619-1110
Phone number: 585-254-3693
Copy
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