BRANDON LEE ELLIS

GAINESVILLE, GA
NPI1013709336
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-05-21
Last Update Date2025-05-21
Business Address
BRANDON LEE ELLIS PA-S
1104 ELM GROVE AVE
GAINESVILLE, GA 30501-3901
Phone number: 850-450-0002
Mailing Address
BRANDON LEE ELLIS PA-S
1104 ELM GROVE AVE
GAINESVILLE, GA 30501-3901
Phone number: 850-450-0002
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