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Individual

MARY KAI OTUMFUO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
44 ALFIE DR, ROCHESTER, NY 14623-3602
(585) 483-2539
Mailing address
44 ALFIE DR, ROCHESTER, NY 14623-3602
(585) 483-2539

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
320864-1
NY

Other

Enumeration date
09/17/2015
Last updated
09/17/2015
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