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1811161938
MARY ELLEN CERRONI
FARMINGTON, NM
NPI
1811161938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NM 1021219)
Enumeration Date
2008-04-18
Last Update Date
2008-04-18
Business Address
-- MARY ELLEN CERRONI PA-C
801 W MAPLE ST
FARMINGTON, NM 87401-5630
Phone number: 505-609-2258
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Mailing Address
-- MARY ELLEN CERRONI PA-C
PO BOX 6210
FARMINGTON, NM 87499-6210
Phone number: 505-609-2258
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