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Organization
SELF
Active
Organization
SELF
Active
Other names
self
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREANA H BROWN L (LPN)
(585) 734-2650
Entity
Organization
Contact information
Practice address
29 HEBERTON RD, ROCHESTER, NY 14622-2405
(585) 734-2650
Mailing address
29 HEBERTON RD, ROCHESTER, NY 14622-2405
(585) 734-2650
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27300
NY
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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