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1760077465
KENNETHA C SHORT
ROCHESTER, NY
NPI
1760077465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 272935-01)
Enumeration Date
2021-03-04
Last Update Date
2021-03-04
Business Address
KENNETHA C SHORT LPN
11 SHADYWOOD DR
ROCHESTER, NY 14606-4920
Phone number: 585-755-0494
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Mailing Address
KENNETHA C SHORT LPN
11 SHADYWOOD DR
ROCHESTER, NY 14606-4920
Phone number: 585-755-0494
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