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Individual

CRYSTAL SHARDAE ROSSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18 UNION ST, GENEVA, NY 14456-2331
(315) 521-4792
Mailing address
18 UNION ST, GENEVA, NY 14456-2331
(315) 521-4792

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321301
NY

Other

Enumeration date
04/04/2016
Last updated
04/04/2016
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