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1851300321
JACK RICHARD BROMSTED
ROCHESTER, NY
NPI
1851300321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 400-444)
Enumeration Date
2006-08-05
Last Update Date
2013-06-19
Business Address
Mr. JACK RICHARD BROMSTED NP
300 CRITTENDEN BLVD PO BOX PSYCH
ROCHESTER, NY 14642-0001
Phone number: 585-275-7327
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Mailing Address
Mr. JACK RICHARD BROMSTED NP
300 CRITTENDEN BLVD PO BOX PSYCH
ROCHESTER, NY 14642-0001
Phone number: 585-275-7327
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