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1073500971
CARL ELLISON
TULSA, OK
NPI
1073500971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
208000000X Pediatrics
(Licence: OK 16061)
Enumeration Date
2005-10-05
Last Update Date
2007-07-08
Business Address
DR. CARL ELLISON M.D.
6161 S YALE AVE CHUCC
TULSA, OK 74136-1902
Phone number: 918-494-2553
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Mailing Address
DR. CARL ELLISON M.D.
6161 S YALE AVE ACCOUNTING
TULSA, OK 74136-1902
Phone number: 918-494-2553
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