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1972815298
MIKE VANDERLAN
ROCHESTER, NY
NPI
1972815298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-07-02
Last Update Date
2010-07-02
Business Address
-- MIKE VANDERLAN
1565 LONG POND RD
ROCHESTER, NY 14626-4122
Phone number: 585-723-7723
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Mailing Address
-- MIKE VANDERLAN
1565 LONG POND RD
ROCHESTER, NY 14626-4122
Phone number: 585-723-7723
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