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1104685346
BLAKE MICHAEL ELLIS
YOUNGSTOWN, OH
NPI
1104685346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: OH 58.034231)
Enumeration Date
2024-03-18
Last Update Date
2024-06-25
Business Address
BLAKE MICHAEL ELLIS DO
1044 BELMONT AVE
YOUNGSTOWN, OH 44504-1006
Phone number: 330-480-7142
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Mailing Address
BLAKE MICHAEL ELLIS DO
1044 BELMONT AVE
YOUNGSTOWN, OH 44504-1006
Phone number:
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