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Individual

MR. AMADU WURIE JALLOH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
REGISTERED NURSE

Contact information

Practice address
268 CRITTENDEN WAY APT 6, ROCHESTER, NY 14623-2219
(585) 208-3637
Mailing address
268 CRITTENDEN WAY # 6, ROCHESTER, NY 14623
(585) 208-3637

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
614216-1
NY

Other

Enumeration date
04/10/2013
Last updated
04/10/2013
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