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Individual

MRS. JANE MARGARET MORRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.H.

Contact information

Practice address
2 RUBIN DR, RUSHVILLE, NY 14544-9681
(585) 554-4400
Mailing address
259 MONROE AVE, ROCHESTER, NY 14607-3632
(585) 325-2280

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
018715
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00618199
NY
Enumeration date
12/11/2012
Last updated
12/11/2012
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