DONALD ELLIS DEEP

CHARLOTTE, NC
NPI1023810033
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-27
Last Update Date2025-09-26
Business Address
DONALD ELLIS DEEP DO
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207-2134
Phone number: 704-446-1242
Mailing Address
DONALD ELLIS DEEP DO
380 FOX RUN
POWELL, OH 43065-9742
Phone number: 614-312-6837
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