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1861255671
JUSTIN A PONDER
ROCHESTER, NY
NPI
1861255671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 345860)
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
JUSTIN A PONDER
1233 LATTA RD APT 5
ROCHESTER, NY 14612-4041
Phone number: 585-851-4828
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Mailing Address
JUSTIN A PONDER
1233 LATTA RD APT 5
ROCHESTER, NY 14612-4041
Phone number: 585-851-4828
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