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1184498388
JACOB ELLISON
EVANSVILLE, IN
NPI
1184498388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251N0400X Physical Therapist, Neurology
(Licence: IN 05015247A)
Enumeration Date
2023-11-08
Last Update Date
2023-11-08
Business Address
JACOB ELLISON DPT
3700 WASHINGTON AVE
EVANSVILLE, IN 47714-0541
Phone number: 812-485-5621
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Mailing Address
JACOB ELLISON DPT
1528 ROSSMAY DR
WESTFIELD, IN 46074-7931
Phone number: 317-809-6352
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