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1972820710
BRENDA LEFAVOUR
TROY, NY
NPI
1972820710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 298302)
Enumeration Date
2010-05-03
Last Update Date
2010-05-03
Business Address
-- BRENDA LEFAVOUR
1 CONWAY CT
TROY, NY 12180-2108
Phone number: 518-274-6525
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Mailing Address
-- BRENDA LEFAVOUR
284 4TH ST
TROY, NY 12180-4601
Phone number: 518-274-6525
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