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1194505081
AMEN IMHOTEP PTAH
ROCHESTER, NY
NPI
1194505081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2023-09-29
Last Update Date
2023-09-29
Business Address
AMEN IMHOTEP PTAH
480 GENESEE ST
ROCHESTER, NY 14611-3634
Phone number: 585-436-3040
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Mailing Address
AMEN IMHOTEP PTAH
54 HARPER ST APT 1
ROCHESTER, NY 14607-3194
Phone number: 585-284-0424
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