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Individual

IRENE BREEDLOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
544 HOLLENBECK ST, ROCHESTER, NY 14621-2238
(585) 713-9894
Mailing address
544 HOLLENBECK ST, ROCHESTER, NY 14621-2238
(585) 713-9894

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
804296207
NY

Other

Enumeration date
12/20/2017
Last updated
12/20/2017
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