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1982223947
KIMBERLY LASHAWN WYATT
ROCHESTER, NY
NPI
1982223947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 336409)
Enumeration Date
2020-04-10
Last Update Date
2020-04-10
Business Address
KIMBERLY LASHAWN WYATT
180 AUTUMN CHAPEL WAY
ROCHESTER, NY 14624-5304
Phone number: 585-354-1795
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Mailing Address
KIMBERLY LASHAWN WYATT
180 AUTUMN CHAPEL WAY
ROCHESTER, NY 14624-5304
Phone number: 585-354-1795
Copy
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