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1679048367
AMANDA ASHLEY RUSS
GENEVA, NY
NPI
1679048367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 327739)
Enumeration Date
2018-10-09
Last Update Date
2018-10-09
Business Address
AMANDA ASHLEY RUSS
178 WILLIAM ST
GENEVA, NY 14456-2554
Phone number: 315-830-8591
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Mailing Address
AMANDA ASHLEY RUSS
178 WILLIAM ST
GENEVA, NY 14456-2554
Phone number: 315-830-8591
Copy
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