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1649585415
MARY DIFONZO
ROME, GA
NPI
1649585415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C00001729)
Enumeration Date
2010-08-17
Last Update Date
2010-08-17
Business Address
Ms. MARY DIFONZO mary difonzo pa-c
30 CHATEAU DR SE
ROME, GA 30161-7201
Phone number: 706-291-3753
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Mailing Address
Ms. MARY DIFONZO mary difonzo pa-c
902 HILTON AVE
BALTIMORE, MD 21228-5874
Phone number: 410-747-8382
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