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1902287766
ASHLEY ANN PROVENZO
BUFFALO, NY
NPI
1902287766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 339765)
Enumeration Date
2015-06-17
Last Update Date
2015-06-17
Business Address
Mrs. ASHLEY ANN PROVENZO FNP
462 GRIDER ST SUITE 15
BUFFALO, NY 14215-3021
Phone number: 716-898-3152
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Mailing Address
Mrs. ASHLEY ANN PROVENZO FNP
160 CARDINAL LN
GRAND ISLAND, NY 14072-1988
Phone number: 585-317-9546
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