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Individual

DONOVAN JACOB ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1870 WINTON RD S STE 100, ROCHESTER, NY 14618-4011
(585) 276-0830
Mailing address
1870 WINTON RD S STE 100, ROCHESTER, NY 14618-4011
(585) 276-0830

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
363AM0700X
Medical Physician Assistant

Other

Enumeration date
06/15/2023
Last updated
03/20/2024
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