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1003398959
SETH CHRISTOPHER JACOB-WAGNER
ROCHESTER, NY
NPI
1003398959
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Former Name
SETH WAGNER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F343222-1)
Enumeration Date
2018-09-06
Last Update Date
2023-01-27
Business Address
Mr. SETH CHRISTOPHER JACOB-WAGNER NP
114 UNIVERSITY AVE
ROCHESTER, NY 14605-2992
Phone number: 585-546-2271
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Mailing Address
Mr. SETH CHRISTOPHER JACOB-WAGNER NP
343 HOYT ST UPPR
BUFFALO, NY 14213-1246
Phone number: 716-480-1596
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