JOSHUA TODD ELLSWORTH

ENID, OK
NPI1073167821
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  4919)
Additional Taxonomies103K00000X Behavior Analyst
Enumeration Date2019-07-30
Last Update Date2024-07-22
Business Address
JOSHUA TODD ELLSWORTH
231 S 30TH ST
ENID, OK 73701-6455
Phone number: 580-233-2900
Mailing Address
JOSHUA TODD ELLSWORTH
9208 NW 72ND ST
HESSTON, KS 67062-6201
Phone number: 620-217-0295
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