JASON DANIEL ELLIS

DOUGLASVILLE, GA
NPI1194840470
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: GA  RN155630)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
Mr. JASON DANIEL ELLIS RN
4510 NOCOHOMA BND
DOUGLASVILLE, GA 30135-8447
Phone number: 678-485-6905
Mailing Address
Mr. JASON DANIEL ELLIS RN
4510 NOCOHOMA BND
DOUGLASVILLE, GA 30135-8447
Phone number: 678-485-6905
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