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1669037594
ELLEN MARIA VILLAFUERTE
SYRACUSE, NY
NPI
1669037594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-05-06
Last Update Date
2019-05-06
Business Address
ELLEN MARIA VILLAFUERTE MD
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-6361
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Mailing Address
ELLEN MARIA VILLAFUERTE MD
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number:
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