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1679989479
JACOB WILLIAM RAIFSTANGER
ROCHESTER, NY
NPI
1679989479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 017837)
Enumeration Date
2014-07-01
Last Update Date
2023-01-11
Business Address
JACOB WILLIAM RAIFSTANGER Physician Assistant
2655 RIDGEWAY AVE STE 460
ROCHESTER, NY 14626-4296
Phone number: 585-581-6790
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Mailing Address
JACOB WILLIAM RAIFSTANGER Physician Assistant
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-922-1900
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