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1164615415
ELLEN E. BANNON-DORN
BLUFFTON, SC
NPI
1164615415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2062)
Enumeration Date
2007-08-21
Last Update Date
2007-08-21
Business Address
-- ELLEN E. BANNON-DORN PTA
800 FORDING ISLAND RD
BLUFFTON, SC 29910-4845
Phone number: 843-815-2555
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Mailing Address
-- ELLEN E. BANNON-DORN PTA
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number:
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