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1407004898
SHANNON DEROSE
ROCHESTER, NY
NPI
1407004898
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Former Name
SHANNON PARKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 012694)
Enumeration Date
2008-08-28
Last Update Date
2022-09-14
Business Address
SHANNON DEROSE RPA-C
125 RED CREEK DR STE 205
ROCHESTER, NY 14623-4262
Phone number: 585-723-7600
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Mailing Address
SHANNON DEROSE RPA-C
1555 LONG POND RD
ROCHESTER, NY 14626-4122
Phone number: 585-723-7281
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