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Individual

ANN DEBORAH LIVINGSTON-GAGNI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
158 NUNDA BLVD, ROCHESTER, NY 14610
(585) 473-6731
Mailing address
158 NUNDA BLVD, ROCHESTER, NY 14610-2845
(585) 473-6731

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2577581
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02288168
NY
Enumeration date
06/02/2008
Last updated
06/02/2008
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