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1073549911
PHILIP LEE ELLIS
GRAND RAPIDS, MI
NPI
1073549911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301005230)
Enumeration Date
2006-06-23
Last Update Date
2017-09-19
Business Address
-- PHILIP LEE ELLIS Ph.D.
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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Mailing Address
-- PHILIP LEE ELLIS Ph.D.
125 S PARK ST STE 325
TRAVERSE CITY, MI 49684-3608
Phone number: 231-715-8466
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