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1891011433
CAROL MARIE DERYCKE
ROCHESTER, NY
NPI
1891011433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 443882-1)
Enumeration Date
2010-04-07
Last Update Date
2010-04-07
Business Address
Mrs. CAROL MARIE DERYCKE RN, BSN
111 WESTFALL RD RM 864
ROCHESTER, NY 14620-4647
Phone number: 585-753-5163
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Mailing Address
Mrs. CAROL MARIE DERYCKE RN, BSN
16 SUNSET TRL
FAIRPORT, NY 14450-1922
Phone number: 585-753-5163
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