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1700019536
MARYANN LAKE
ROCHESTER, NY
NPI
1700019536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 291641-1)
Enumeration Date
2009-08-27
Last Update Date
2009-08-27
Business Address
Mrs. MARYANN LAKE lpn
231 NORTH AVE
ROCHESTER, NY 14626-1053
Phone number: 585-227-7589
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Mailing Address
Mrs. MARYANN LAKE lpn
231 NORTH AVE
ROCHESTER, NY 14626-1053
Phone number: 585-227-7589
Copy
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