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1104137033
JEROME C ELLIS
LIMA, OH
NPI
1104137033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OH 30023234)
Enumeration Date
2010-06-25
Last Update Date
2010-06-25
Business Address
Dr. JEROME C ELLIS DDS
230 N EASTOWN RD
LIMA, OH 45807-2211
Phone number: 419-228-2233
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Mailing Address
Dr. JEROME C ELLIS DDS
230 N EASTOWN RD
LIMA, OH 45807-2211
Phone number: 419-228-2233
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