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1700171378
THERESA MACK
ROCHESTER, NY
NPI
1700171378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 300781)
Enumeration Date
2011-06-12
Last Update Date
2011-06-12
Business Address
-- THERESA MACK LPN
394 ELECTRIC AVE
ROCHESTER, NY 14613-1004
Phone number: 585-317-7712
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Mailing Address
-- THERESA MACK LPN
394 ELECTRIC AVE
ROCHESTER, NY 14613-1004
Phone number: 585-317-7712
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