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Individual

MARTINE ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
374 THURSTON RD REAR, ROCHESTER, NY 14619-1540
(585) 202-7565
Mailing address
PO BOX 24944, ROCHESTER, NY 14624-0944
(585) 202-7565

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
08/29/2022
Last updated
08/29/2022
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