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1487048955
JACOB EVERETT GANTZ
ROCHESTER, NY
NPI
1487048955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-03-23
Last Update Date
2015-03-23
Business Address
-- JACOB EVERETT GANTZ M.D.
601 ELMWOOD AVE BOX SURG
ROCHESTER, NY 14642-0001
Phone number: 585-275-2723
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Mailing Address
-- JACOB EVERETT GANTZ M.D.
420 WESTFALL RD APT. 19
ROCHESTER, NY 14620-4649
Phone number: 717-357-0373
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