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1003699158
ELLEN FLORA
CHAMPAIGN, IL
NPI
1003699158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-08-14
Last Update Date
2023-08-15
Business Address
ELLEN FLORA
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3981
Phone number: 217-366-1248
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Mailing Address
ELLEN FLORA
4550 NICKLAUS DR APT 306
CHAMPAIGN, IL 61822-1508
Phone number: 803-645-2068
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