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1114062759
STERLING GRANT ELLSWORTH
ELMIRA, OR
NPI
1114062759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: OR 0087)
Enumeration Date
2007-02-21
Last Update Date
2016-09-27
Business Address
Dr. STERLING GRANT ELLSWORTH PhD PC
25450 ARNOLD LN
ELMIRA, OR 97437-9782
Phone number: 541-935-6215
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Mailing Address
Dr. STERLING GRANT ELLSWORTH PhD PC
25450 ARNOLD LN
ELMIRA, OR 97437-9782
Phone number: 541-935-6215
Copy
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STERLING G. ELLSWORTH PH.D. P.C.