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1013587963
CAITLYN MICHELLE ELLIS
CHARLOTTE, NC
NPI
1013587963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-11400)
Enumeration Date
2021-07-01
Last Update Date
2021-07-01
Business Address
Ms. CAITLYN MICHELLE ELLIS PA-C
1915 RANDOLPH RD
CHARLOTTE, NC 28207-1101
Phone number: 704-323-2543
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Mailing Address
Ms. CAITLYN MICHELLE ELLIS PA-C
4601 PARK RD STE 300
CHARLOTTE, NC 28209-2290
Phone number: 704-323-2090
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