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1699131003
TYVONISE MAXEY
ROCHESTER, NY
NPI
1699131003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 10324258)
Enumeration Date
2016-01-14
Last Update Date
2016-01-14
Business Address
-- TYVONISE MAXEY PLN
16 FLOYD DR
ROCHESTER, NY 14623-4712
Phone number: 585-479-0715
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Mailing Address
-- TYVONISE MAXEY PLN
16 FLOYD DR
ROCHESTER, NY 14623-4712
Phone number: 585-479-0715
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