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1740582915
JESSICA BROCK
CHEEKTOWAGA, NY
NPI
1740582915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 269256)
Enumeration Date
2010-11-22
Last Update Date
2010-11-22
Business Address
-- JESSICA BROCK LPN
1680 WALDEN AVE
CHEEKTOWAGA, NY 14225-4914
Phone number: 716-894-7777
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Mailing Address
-- JESSICA BROCK LPN
64 14TH ST
JAMESTOWN, NY 14701-3031
Phone number: 716-661-0560
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