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1174032304
KRISTA ELLIS
ADRIAN, MI
NPI
1174032304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501018424)
Enumeration Date
2017-09-20
Last Update Date
2017-09-20
Business Address
KRISTA ELLIS
730 KIMOLE LN
ADRIAN, MI 49221-1463
Phone number: 517-263-6771
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Mailing Address
KRISTA ELLIS
1003 GELLATLY CT
OWOSSO, MI 48867-1889
Phone number: 989-413-9001
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