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1679224406
NICOLE ELLISON
ROCHESTER, NY
NPI
1679224406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 030084)
Enumeration Date
2022-01-13
Last Update Date
2023-07-13
Business Address
NICOLE ELLISON
601 ELMWOOD AVE.
ROCHESTER, NY 14642-0001
Phone number: 585-275-4912
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Mailing Address
NICOLE ELLISON
601 ELMWOOD AVE BOX MED
ROCHESTER, NY 14642-0001
Phone number: 585-275-4912
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