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Individual

ANNE ESHENOUR MACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 FLOYD AVE, ROME, NY 13440-5271
(315) 336-6190
(315) 336-6194
Mailing address
409 BELL RD S, ROME, NY 13440-5298
(315) 338-6500
(315) 334-7528

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
645073
NY

Other

Enumeration date
09/12/2018
Last updated
09/12/2018
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