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Individual

MRS. LAURA JANE PERILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
55 TAYLOR DR, TONAWANDA, NY 14150-5927
(716) 694-7697
(716) 213-5000
Mailing address
55 TAYLOR DR, TONAWANDA, NY 14150-5927
(716) 694-7697
(716) 213-5000

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
296053-1
NY

Other

Enumeration date
09/13/2011
Last updated
09/13/2011
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