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Individual

KEITH WING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
85 METRO PARK, ROCHESTER, NY 14623-2607
(585) 295-6417
Mailing address
85 METRO PARK, ROCHESTER, NY 14623-2607
(585) 295-6417

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
599754
NY

Other

Enumeration date
03/24/2011
Last updated
03/24/2011
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