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1255678652
STEPHANIE MARCHETTA ELLENS
ROCHESTER, NY
NPI
1255678652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006573)
Enumeration Date
2013-01-07
Last Update Date
2020-08-31
Business Address
Ms. STEPHANIE MARCHETTA ELLENS PA
2180 S CLINTON AVE OFC
ROCHESTER, NY 14618-2665
Phone number: 852-255-7675
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Mailing Address
Ms. STEPHANIE MARCHETTA ELLENS PA
21 COBB TER
ROCHESTER, NY 14620-3339
Phone number: 810-429-0430
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