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1043781925
SHANON LEE MEKESA ELLIS
WILLOUGHBY, OH
NPI
1043781925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH APRN.CNP.024564)
Enumeration Date
2018-12-17
Last Update Date
2020-02-05
Business Address
SHANON LEE MEKESA ELLIS NP-C
6005 SOM CENTER RD
WILLOUGHBY, OH 44094-9646
Phone number: 440-946-7252
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Mailing Address
SHANON LEE MEKESA ELLIS NP-C
5725 DEER CREEK DR
WILLOUGHBY, OH 44094-4185
Phone number: 770-841-3785
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