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1992553101
BROOKLYNN T TISDALE
ROCHESTER, NY
NPI
1992553101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 337414)
Enumeration Date
2024-05-11
Last Update Date
2024-05-11
Business Address
Miss BROOKLYNN T TISDALE LPN
60 DODGE ST APT D
ROCHESTER, NY 14606-1524
Phone number: 585-362-2046
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Mailing Address
Miss BROOKLYNN T TISDALE LPN
60 DODGE ST APT D
ROCHESTER, NY 14606-1524
Phone number: 585-362-2046
Copy
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