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1851528798
CAROL DIANE FAGUE
ROCHESTER, NY
NPI
1851528798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2009-06-18
Last Update Date
2011-09-26
Business Address
Miss CAROL DIANE FAGUE RPA-C
1000 SOUTH AVE
ROCHESTER, NY 14620-2733
Phone number: 585-341-6880
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Mailing Address
Miss CAROL DIANE FAGUE RPA-C
601 ELMWOOD AVE BOX 655
ROCHESTER, NY 14642-8655
Phone number: 585-341-6880
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