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1063507432
ELLIS JOHN CIVELLO
KERRVILLE, TX
NPI
1063507432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry
(Licence: TX G7046)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- ELLIS JOHN CIVELLO MD
721 THOMPSON DRIVE
KERRVILLE, TX 78028
Phone number: 830-896-2211
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Mailing Address
-- ELLIS JOHN CIVELLO MD
721 THOMPSON DRIVE
KERRVILLE, TX 78028
Phone number: 830-896-2211
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