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1003918731
ADAM WESLEY ELLIS
RUSSELLVILLE, KY
NPI
1003918731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: KY 40994)
Enumeration Date
2006-09-02
Last Update Date
2023-08-02
Business Address
Dr. ADAM WESLEY ELLIS M.D
1623 NASHVILLE ST STE 106
RUSSELLVILLE, KY 42276-8889
Phone number: 270-726-8090
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Mailing Address
Dr. ADAM WESLEY ELLIS M.D
1623 NASHVILLE ST STE 106
RUSSELLVILLE, KY 42276-8889
Phone number: 270-726-8090
Copy
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