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1104663764
ASHLEY MATLA
ROCHESTER, NY
NPI
1104663764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 032152)
Enumeration Date
2024-07-11
Last Update Date
2024-08-28
Business Address
ASHLEY MATLA PA-C
1425 PORTLAND AVE
ROCHESTER, NY 14621-3011
Phone number: 585-922-4000
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Mailing Address
ASHLEY MATLA PA-C
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number:
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