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1891971339
KELLY BROCK
ROCHESTER, NY
NPI
1891971339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 10284460)
Enumeration Date
2008-01-15
Last Update Date
2008-01-15
Business Address
-- KELLY BROCK LPN
345 ELMWOOD TER
ROCHESTER, NY 14620-3707
Phone number: 585-529-4881
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Mailing Address
-- KELLY BROCK LPN
345 ELMWOOD TER
ROCHESTER, NY 14620-3707
Phone number: 585-529-4881
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