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1831290717
KELLEYAYN WALLACE
ROCHESTER, NY
NPI
1831290717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 011509)
Enumeration Date
2006-09-26
Last Update Date
2015-12-09
Business Address
-- KELLEYAYN WALLACE PA
2080 CLINTON AVE SOUTH
ROCHESTER, NY 14618
Phone number: 585-271-2800
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Mailing Address
-- KELLEYAYN WALLACE PA
2080 CLINTON AVE SOUTH
ROCHESTER, NY 14618
Phone number: 585-271-2800
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