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1134795685
CODY DONALD SPONHOLZ
GENEVA, NY
NPI
1134795685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 027251)
Enumeration Date
2021-06-03
Last Update Date
2021-11-22
Business Address
Mr. CODY DONALD SPONHOLZ
875 PRE EMPTION RD
GENEVA, NY 14456-2042
Phone number: 315-789-5061
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Mailing Address
Mr. CODY DONALD SPONHOLZ
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 315-789-5061
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