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Individual

ERIC JOHN JANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
339 EAST AVE, SUITE 303, ROCHESTER, NY 14604-2627
(585) 434-2633
(585) 434-2635
Mailing address
339 EAST AVE, SUITE 303, ROCHESTER, NY 14604-2627
(585) 434-2633
(585) 434-2635

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
424870-1
NY

Other

Enumeration date
09/25/2015
Last updated
09/25/2015
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