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1336616648
MARISA KAE HANLON
ROCHESTER, NY
NPI
1336616648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 025677)
Enumeration Date
2018-10-25
Last Update Date
2022-10-20
Business Address
Miss MARISA KAE HANLON PA
1555 LONG POND RD
ROCHESTER, NY 14626-4122
Phone number: 585-723-7000
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Mailing Address
Miss MARISA KAE HANLON PA
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-723-7000
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