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1790707016
LAURIE THIELE
ROCHESTER, NY
NPI
1790707016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 006455)
Enumeration Date
2006-07-24
Last Update Date
2007-08-24
Business Address
-- LAURIE THIELE PA
601 ELMWOOD AVE BOX 655
ROCHESTER, NY 14642-0001
Phone number: 585-341-3015
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Mailing Address
-- LAURIE THIELE PA
601 ELMWOOD AVE BOX 655
ROCHESTER, NY 14642-0001
Phone number: 585-341-3015
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