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1285143677
ELLYSSA SUSAN DEGROOT
ALLENTOWN, PA
NPI
1285143677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA059299)
Enumeration Date
2017-09-28
Last Update Date
2017-09-28
Business Address
ELLYSSA SUSAN DEGROOT PA-C
1240 S CEDAR CREST BLVD STE 403
ALLENTOWN, PA 18103-6218
Phone number: 610-402-3650
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Mailing Address
ELLYSSA SUSAN DEGROOT PA-C
1240 S CEDAR CREST BLVD STE 403
ALLENTOWN, PA 18103-6218
Phone number: 610-402-3650
Copy
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