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1740520881
EBONY JENELL BOOTH
ROCHESTER, NY
NPI
1740520881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 311775)
Enumeration Date
2013-02-27
Last Update Date
2013-02-27
Business Address
Ms. EBONY JENELL BOOTH
52 LOVE ST
ROCHESTER, NY 14611-2206
Phone number: 585-465-6460
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Mailing Address
Ms. EBONY JENELL BOOTH
52 LOVE ST
ROCHESTER, NY 14611-2206
Phone number: 585-465-6460
Copy
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