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1134597032
JOSHUA ELLIS
WICHITA, KS
NPI
1134597032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KS 15-01822)
Enumeration Date
2015-09-09
Last Update Date
2015-09-09
Business Address
JOSHUA ELLIS PA-C
550 N HILLSIDE ST
WICHITA, KS 67214-4910
Phone number: 316-962-2668
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Mailing Address
JOSHUA ELLIS PA-C
200 E WINDING LANE CIR
DERBY, KS 67037-8818
Phone number:
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