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Doreen Lenore Fanton, RN

Registered Nurse in Rochester, NY. Individual provider (NPI-1).

NPI number1023367307
StatusActive
Last updated in NPPESSep 3, 2012

Details

NPI
1023367307
Entity type
Individual (NPI-1)
Name
Doreen Lenore Fanton
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 3, 2012
Last updated
Sep 3, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse528803-1NYYes

Practice location

111 Westfall Rd
Rochester, NY 14620-4647

Phone 585-753-2991

Mailing address

Po Box 177
Canandaigua, NY 14424-0177

Phone 585-694-8587

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