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1811596224
MARTHA FAGAN
ROCHESTER, NY
NPI
1811596224
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Former Name
MARTHA ADSIT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 346047)
Enumeration Date
2020-10-19
Last Update Date
2020-10-19
Business Address
MARTHA FAGAN FNP
300 MERIDIAN CENTRE BLVD STE 320
ROCHESTER, NY 14618-3984
Phone number: 315-552-7763
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Mailing Address
MARTHA FAGAN FNP
300 MERIDIAN CENTRE BLVD STE 320
ROCHESTER, NY 14618-3984
Phone number: 315-552-7763
Copy
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