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1467415471
THOMAS E. MOOSE
ROCHESTER, NY
NPI
1467415471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 006431)
Enumeration Date
2006-04-10
Last Update Date
2007-07-08
Business Address
-- THOMAS E. MOOSE RPA-C
200 CANAL VIEW BLVD SUITE 102
ROCHESTER, NY 14623-2852
Phone number: 585-461-5330
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Mailing Address
-- THOMAS E. MOOSE RPA-C
12 CHELSEA WAY
FAIRPORT, NY 14450-3215
Phone number: 585-425-3245
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