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1831928613
EBONY MASIRE
ROCHESTER, NY
NPI
1831928613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 346505)
Enumeration Date
2024-07-30
Last Update Date
2024-07-30
Business Address
EBONY MASIRE
24 EVERGREEN ST
ROCHESTER, NY 14605-1014
Phone number: 404-454-0410
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Mailing Address
EBONY MASIRE
24 EVERGREEN ST
ROCHESTER, NY 14605-1014
Phone number: 404-454-0410
Copy
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