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Individual

MR. BRANDON MARQUIS CRAYON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3419 COUNTY ROAD 20, STANLEY, NY 14561-9522
(585) 905-8516
Mailing address
310 ANGELUS DR, ROCHESTER, NY 14622-3110
(585) 694-2225

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
341139-01
NY

Other

Enumeration date
11/30/2021
Last updated
11/30/2021
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