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1669173191
HOWARD REVANS
ROCHESTER, NY
NPI
1669173191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 030642)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2023-03-13
Last Update Date
2023-10-26
Business Address
HOWARD REVANS
1555 LONG POND RD
ROCHESTER, NY 14626-4164
Phone number: 585-723-7070
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Mailing Address
HOWARD REVANS
44 POPPY ST
ROCHESTER, NY 14617-2615
Phone number: 585-683-8496
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