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1073616470
DICK TRACY ELLISON
MUNCIE, IN
NPI
1073616470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 6592)
Enumeration Date
2006-09-07
Last Update Date
2007-07-08
Business Address
Dr. DICK TRACY ELLISON DDS
1602 W JACKSON ST
MUNCIE, IN 47303
Phone number: 765-289-0236
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Mailing Address
Dr. DICK TRACY ELLISON DDS
1602 W JACKSON ST
MUNCIE, IN 47303
Phone number: 765-289-0236
Copy
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