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Organization
ROCHESTER SPORTS CHIROPRACTIC, PLLC
Active
Organization
ROCHESTER SPORTS CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVEN E. HAGEN DC (PROVIDER)
(585) 497-7078
Entity
Organization
Contact information
Practice address
10 ASSEMBLY DR STE 105, MENDON, NY 14506-9604
(585) 497-7078
Mailing address
53 ASSEMBLY DR UNIT 137, MENDON, NY 14506-7006
(585) 497-7078
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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