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1053959304
JACKSON SANNA
ROCHESTER, NY
NPI
1053959304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: NY 044568)
Enumeration Date
2019-12-17
Last Update Date
2019-12-17
Business Address
JACKSON SANNA
4901 LAC DE VILLE BLVD UNIT D
ROCHESTER, NY 14618-5647
Phone number: 585-275-7379
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Mailing Address
JACKSON SANNA
4901 LAC DE VILLE BLVD UNIT D
ROCHESTER, NY 14618-5647
Phone number:
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