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1477804417
ELYSSA MARIE JOHNSON
FRACKVILLE, PA
NPI
1477804417
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Former Name
ELYSSA MARIE NIEDDU
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA055747)
Enumeration Date
2012-10-01
Last Update Date
2020-08-17
Business Address
Mrs. ELYSSA MARIE JOHNSON PA-C
701 W OAK ST
FRACKVILLE, PA 17931-1672
Phone number: 570-874-4100
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Mailing Address
Mrs. ELYSSA MARIE JOHNSON PA-C
100 N ACADEMY AVE CREDENTIAL DEPT
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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