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1720515489
JALISSA COLON
ROCHESTER, NY
NPI
1720515489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 303400)
Enumeration Date
2017-05-12
Last Update Date
2017-05-12
Business Address
-- JALISSA COLON LPN
111 KINGSBERRY DR APT B
ROCHESTER, NY 14626-2240
Phone number: 585-820-8894
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Mailing Address
-- JALISSA COLON LPN
111 KINGSBERRY DR APT B
ROCHESTER, NY 14626-2240
Phone number: 585-820-8894
Copy
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