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1902319528
SIRISOPA CHANTONGKAEW
ROCHESTER, NY
NPI
1902319528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 322738-1)
Enumeration Date
2017-11-06
Last Update Date
2017-11-06
Business Address
SIRISOPA CHANTONGKAEW LPN
146 BRANDYWINE TER
ROCHESTER, NY 14623-5251
Phone number: 585-286-0068
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Mailing Address
SIRISOPA CHANTONGKAEW LPN
146 BRANDYWINE TER
ROCHESTER, NY 14623-5251
Phone number: 585-286-0068
Copy
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