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1164014502
SARA JANE ELLISON
POWELL, TN
NPI
1164014502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 9140)
Enumeration Date
2021-02-08
Last Update Date
2021-02-08
Business Address
SARA JANE ELLISON
2141 W EMORY RD
POWELL, TN 37849-3704
Phone number: 865-947-1581
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Mailing Address
SARA JANE ELLISON
2141 W EMORY RD
POWELL, TN 37849-3704
Phone number: 865-947-1581
Copy
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