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1033289525
JACK ELLIS
BIRMINGHAM, AL
NPI
1033289525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH4693)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
-- JACK ELLIS P.T.
820 UNIVERSITY BLVD
BIRMINGHAM, AL 35233-1111
Phone number: 205-327-5030
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Mailing Address
-- JACK ELLIS P.T.
820 UNIVERSITY BLVD
BIRMINGHAM, AL 35233-1111
Phone number: 205-327-5030
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