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1134834310
TYLER ELLIS
LOS ANGELES, CA
NPI
1134834310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA64180)
Enumeration Date
2023-01-20
Last Update Date
2024-04-03
Business Address
TYLER ELLIS
1731 E 120TH ST
LOS ANGELES, CA 90059-3051
Phone number: 323-563-4800
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Mailing Address
TYLER ELLIS
1731 E 120TH ST
LOS ANGELES, CA 90059-3051
Phone number:
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