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1073909289
ELLEN MARIE DIEFENDERFER
COLUMBUS, OH
NPI
1073909289
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Former Name
ELLEN MARIE VANDERBURGH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50004326)
Enumeration Date
2015-04-14
Last Update Date
2020-02-12
Business Address
ELLEN MARIE DIEFENDERFER PA-C
300 W 10TH AVE
COLUMBUS, OH 43210-1280
Phone number: 614-293-9059
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Mailing Address
ELLEN MARIE DIEFENDERFER PA-C
700 ACKERMAN RD STE 2120
COLUMBUS, OH 43202-1559
Phone number: 614-293-9059
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