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1538536750
KATHARINA MARIAH INDIVERO
ROCHESTER, NY
NPI
1538536750
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Former Name
KATHARINA MARIAH KRISTAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 018882)
Enumeration Date
2015-08-24
Last Update Date
2021-01-28
Business Address
KATHARINA MARIAH INDIVERO PA-C
1445 PORTLAND AVE STE 108
ROCHESTER, NY 14621-3008
Phone number: 585-922-5550
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Mailing Address
KATHARINA MARIAH INDIVERO PA-C
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-922-5550
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