Provider First Line Business Practice Location Address:
351 NORTH STREET
Provider Second Line Business Practice Location Address:
MARY CLARK THOMPSON FAMILY PRACTICE
Provider Business Practice Location Address City Name:
CANANDAIGUA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14424-1442
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-975-5125
Provider Business Practice Location Address Fax Number:
585-393-1663
Provider Enumeration Date:
07/17/2006