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1104937945
MARYELLEN BLEVINS
CARTHAGE, NY
NPI
1104937945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 005666)
Enumeration Date
2006-08-31
Last Update Date
2014-02-17
Business Address
-- MARYELLEN BLEVINS PA
3 BRIDGE ST.
CARTHAGE, NY 13619
Phone number: 315-493-3333
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Mailing Address
-- MARYELLEN BLEVINS PA
1001 WEST ST.
CARTHAGE, NY 13619
Phone number: 315-493-1000
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