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Individual

ALLISON GOURDINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
516 EDGECREEK TRL, ROCHESTER, NY 14609-1876
(585) 354-4553
Mailing address
516 EDGECREEK TRL, ROCHESTER, NY 14609-1876
(585) 354-4553

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
339524
NY

Other

Enumeration date
03/18/2024
Last updated
03/18/2024
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