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1093457186
ELLEX ANTHONY PHILLIPS
LAFAYETTE, IN
NPI
1093457186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-10
Last Update Date
2022-04-10
Business Address
ELLEX ANTHONY PHILLIPS MD
5177 MCCARTY LN
LAFAYETTE, IN 47905-8764
Phone number: 765-838-7101
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Mailing Address
ELLEX ANTHONY PHILLIPS MD
5177 MCCARTY LN
LAFAYETTE, IN 47905-8764
Phone number:
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