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Individual

MS. MARY ALICE KEATOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., L.AC, CNC

Contact information

Practice address
667 PANORAMA TRL W, ROCHESTER, NY 14625-2405
(585) 586-7777
Mailing address
667 PANORAMA TRL W, ROCHESTER, NY 14625-2405
(585) 586-7777

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004117
NY

Other

Enumeration date
04/18/2012
Last updated
04/18/2012
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