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1720639305
TIMOTHY NICHOLAS GLENN SAMPSON
ROCHESTER, NY
NPI
1720639305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363A00000X Physician Assistant
(Licence: NY 23613)
Enumeration Date
2019-09-24
Last Update Date
2023-07-03
Business Address
TIMOTHY NICHOLAS GLENN SAMPSON
601 ELMWOOD AVE
ROCHESTER, NY 14642-0001
Phone number: 585-275-2100
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Mailing Address
TIMOTHY NICHOLAS GLENN SAMPSON
601 ELMWOOD AVE
ROCHESTER, NY 14642-0001
Phone number:
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