ELLISON PRATLEY

CHESTERTON, IN
NPI1154153963
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2024-08-19
Last Update Date2024-08-19
Business Address
ELLISON PRATLEY PA-C
601 GATEWAY BLVD N
CHESTERTON, IN 46304-9658
Phone number: 219-921-1444
Mailing Address
ELLISON PRATLEY PA-C
601 GATEWAY BLVD N
CHESTERTON, IN 46304-9658
Phone number: 219-921-1444
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