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1831730852
ADAM DEREK TENBROEKE
ROCHESTER, NY
NPI
1831730852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NY 431502)
Enumeration Date
2019-10-01
Last Update Date
2021-05-28
Business Address
ADAM DEREK TENBROEKE NP
1425 PORTLAND AVE
ROCHESTER, NY 14621-3011
Phone number: 585-922-9080
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Mailing Address
ADAM DEREK TENBROEKE NP
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-922-9080
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