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Case Number and Status

Case Number: I-200-18043-078975

Submitted on:

CERTIFIED

on:

Employment

From: 2018-06-20

To: 2021-06-19 (1,095 days)

Address

1425 Portland Avenue
Rochester, NY 14621

Phone

5859225352


Attorney Summary

Location
Philadelphia, PA

Job Summary

Job Title
Physician, Ob/gyn
City and State
Newark, NY
County
Wayne

Soc Code
29-1064.00
Naics Code
Industry Code
622110