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1891881439
KATHY RIDEOUT
ROCHESTER, NY
NPI
1891881439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY 380892-1)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
-- KATHY RIDEOUT
601 ELMWOOD AVE
ROCHESTER, NY 14642
Phone number: 585-275-3609
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Mailing Address
-- KATHY RIDEOUT
12 TIBBLES LANE
ROCHESTER, NY 14624
Phone number:
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