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1164096962
DOUGLAS R HENNEBERG
ROCHESTER, NY
NPI
1164096962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: NY 001092)
Enumeration Date
2021-05-17
Last Update Date
2021-05-17
Business Address
DOUGLAS R HENNEBERG ATC
1000 E HENRIETTA RD
ROCHESTER, NY 14623-5701
Phone number: 585-292-2848
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Mailing Address
DOUGLAS R HENNEBERG ATC
1000 E HENRIETTA RD
ROCHESTER, NY 14623-5701
Phone number: 585-292-2848
Copy
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