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1982267142
JORDAN ANTETOMASO
ROCHESTER, NY
NPI
1982267142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-15
Last Update Date
2019-04-15
Business Address
JORDAN ANTETOMASO
1455 E RIDGE RD
ROCHESTER, NY 14621-2006
Phone number: 585-974-5045
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Mailing Address
JORDAN ANTETOMASO
1455 E RIDGE RD
ROCHESTER, NY 14621-2006
Phone number:
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