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1235347436
GEORGE E ELLIS
HAZLEHURST, MS
NPI
1235347436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 233687)
Enumeration Date
2007-05-19
Last Update Date
2007-07-08
Business Address
-- GEORGE E ELLIS d.m.d.
108 TRADE CENTER LN
HAZLEHURST, MS 39083-2319
Phone number: 601-894-4016
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Mailing Address
-- GEORGE E ELLIS d.m.d.
108 TRADE CENTER LN
HAZLEHURST, MS 39083-2319
Phone number: 601-894-4016
Copy
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