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CHAUNCEY LAMONT PHELPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2509 BROWNCROFT BLVD, ROCHESTER, NY 14625-1522
(585) 381-2466
Mailing address
2509 BROWNCROFT BLVD, ROCHESTER, NY 14625-1522
(585) 381-2466

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
11/29/2018
Last updated
09/02/2024
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Product
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  • EDI platform