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1558540203
JACK C WONG
ROCHESTER, NY
NPI
1558540203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 033884-1)
Enumeration Date
2007-10-30
Last Update Date
2007-10-30
Business Address
Mr. JACK C WONG bsc
626 PARK AVE
ROCHESTER, NY 14607-2943
Phone number: 585-271-6736
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Mailing Address
Mr. JACK C WONG bsc
5 PEREGRINE WAY
WEBSTER, NY 14580-8784
Phone number: 585-872-4805
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