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1871019356
AVERY STANTON
ROCHESTER, NY
NPI
1871019356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 329647)
Enumeration Date
2017-08-16
Last Update Date
2022-07-21
Business Address
AVERY STANTON
139 HORIZON DR
ROCHESTER, NY 14625-1337
Phone number: 315-729-1374
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Mailing Address
AVERY STANTON
139 HORIZON DR
ROCHESTER, NY 14625-1337
Phone number: 315-729-1374
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