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1194252916
NATHAN ROBERT ELLEDGE
VISALIA, CA
NPI
1194252916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: CA 20A18996)
Enumeration Date
2017-05-11
Last Update Date
2023-05-03
Business Address
NATHAN ROBERT ELLEDGE D.O
400 W MINERAL KING AVE
VISALIA, CA 93291-6237
Phone number: 559-624-2000
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Mailing Address
NATHAN ROBERT ELLEDGE D.O
896 BIRCHWOOD CT
HANFORD, CA 93230-1504
Phone number: 559-940-2868
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