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1316544505
ZOEY ELIZABETH WALLENBECK
ITHACA, NY
NPI
1316544505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-10-01
Last Update Date
2022-01-11
Business Address
ZOEY ELIZABETH WALLENBECK PA-C
101 DATES DR
ITHACA, NY 14850-1342
Phone number: 072-744-0116
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Mailing Address
ZOEY ELIZABETH WALLENBECK PA-C
101 DATES DR
ITHACA, NY 14850-1342
Phone number: 607-274-4011
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