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1619075413
ELLEN PARK
ROCHESTER, NY
NPI
1619075413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- ELLEN PARK D.D.S.
625 ELMWOOD AVE BOX 683
ROCHESTER, NY 14620-2913
Phone number: 585-275-5087
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Mailing Address
-- ELLEN PARK D.D.S.
625 ELMWOOD AVE BOX 683
ROCHESTER, NY 14620-2913
Phone number: 585-275-5087
Copy
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