BLAKE MICHAEL ELLIS

YOUNGSTOWN, OH
NPI1104685346
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-18
Last Update Date2024-03-18
Business Address
BLAKE MICHAEL ELLIS DO
1044 BELMONT AVE
YOUNGSTOWN, OH 44504-1006
Phone number: 330-480-7142
Mailing Address
BLAKE MICHAEL ELLIS DO
1044 BELMONT AVE
YOUNGSTOWN, OH 44504-1006
Phone number:
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