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1184152027
ANN PEYTON ELLIS
TAHLEQUAH, OK
NPI
1184152027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-05-23
Last Update Date
2017-05-23
Business Address
ANN PEYTON ELLIS LAT, ATC
600 N GRAND AVE
TAHLEQUAH, OK 74464-2301
Phone number: 918-456-5511
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Mailing Address
ANN PEYTON ELLIS LAT, ATC
132 GLEN IVES WAY
MADISON, AL 35758-4606
Phone number: 256-698-8809
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