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1215556667
GRAHAM JAMES ELLIS
SAN ANTONIO, TX
NPI
1215556667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-15
Last Update Date
2020-04-15
Business Address
GRAHAM JAMES ELLIS DO
7400 BARLITE BLVD
SAN ANTONIO, TX 78224-1308
Phone number: 210-921-2000
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Mailing Address
GRAHAM JAMES ELLIS DO
330 E ROOSEVELT ST APT 4091
PHOENIX, AZ 85004-4312
Phone number: 310-924-1413
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