They don't sync to Marketo? That's odd, because we can't get them to stop syncing to Marketo. They can go Marketo -> SalesForce or SalesForce -> Marketo.
I would only import leads without email addresses if I know that I need to push them to SalesForce and get them on a campaign. So yes, it may create a duplicate record, but I just push them to SalesForce and use the "Find Duplicates" feature to merge it with any potential match. It's easier to do it there than in Marketo.