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Individual

ELLALEE SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
501 MALL RD, HARRISBURG, PA 17111-1202
(717) 780-6800
Mailing address
143 KOKOMO AVE, HUMMELSTOWN, PA 17036-1117
(717) 645-3482

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
07/26/2022
Last updated
07/26/2022
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