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1245270222
JESSICA LAINE ELLIS
SPRINGFIELD, OR
NPI
1245270222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: OR MD172850)
Enumeration Date
2006-06-07
Last Update Date
2015-12-04
Business Address
-- JESSICA LAINE ELLIS M.D.
1435 G ST
SPRINGFIELD, OR 97477-4113
Phone number: 541-242-4812
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Mailing Address
-- JESSICA LAINE ELLIS M.D.
PO BOX 1648
EUGENE, OR 97440-1648
Phone number: 541-242-4812
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