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1033454699
JEFFREY CHRISTIAN ELLIS
SPRINGFIELD, MO
NPI
1033454699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2022006238)
Enumeration Date
2012-12-07
Last Update Date
2022-02-23
Business Address
JEFFREY CHRISTIAN ELLIS PA-C
2150 W REPUBLIC RD STE 112
SPRINGFIELD, MO 65807-6056
Phone number: 417-986-1291
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Mailing Address
JEFFREY CHRISTIAN ELLIS PA-C
2150 W REPUBLIC RD STE 112
SPRINGFIELD, MO 65807-6056
Phone number: 417-986-1291
Copy
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