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1174626311
NICHOLAS ELLYN
ALEXANDRIA, VA
NPI
1174626311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: VA 0101027634)
Enumeration Date
2006-09-06
Last Update Date
2010-05-11
Business Address
-- NICHOLAS ELLYN M.D.
1707 OSAGE ST SUITE 205
ALEXANDRIA, VA 22302-2611
Phone number: 703-578-0100
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Mailing Address
-- NICHOLAS ELLYN M.D.
1707 OSAGE ST SUITE 205
ALEXANDRIA, VA 22302-2611
Phone number: 703-578-0100
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