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1447098447
BRYAN SPONG
WEBSTER, NY
NPI
1447098447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 311862)
Enumeration Date
2024-07-16
Last Update Date
2024-07-16
Business Address
BRYAN SPONG
2000 EMPIRE BLVD STE 120
WEBSTER, NY 14580-1957
Phone number: 585-922-0930
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Mailing Address
BRYAN SPONG
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number:
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