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1891223616
BENNETT LEROY WILSON
ROCHESTER, NY
NPI
1891223616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: NY 303347)
Enumeration Date
2017-05-24
Last Update Date
2022-07-21
Business Address
BENNETT LEROY WILSON DO
601 ELMWOOD AVE BOX 626
ROCHESTER, NY 14642-0001
Phone number: 585-273-4580
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Mailing Address
BENNETT LEROY WILSON DO
601 ELMWOOD AVE BOX 626
ROCHESTER, NY 14642-0001
Phone number: 585-273-4580
Copy
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