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1083075303
W ALEXANDER ELLIS
SACRAMENTO, CA
NPI
1083075303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A140782)
Enumeration Date
2016-03-14
Last Update Date
2016-03-14
Business Address
W ALEXANDER ELLIS
7601 HOSPITAL DR 103
SACRAMENTO, CA 95823-5408
Phone number: 916-681-1600
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Mailing Address
W ALEXANDER ELLIS
1334 N CHEROKEE AVE
LOS ANGELES, CA 90028-7702
Phone number:
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