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1245339977
MICHAEL GARY ELLMAN
MESQUITE, TX
NPI
1245339977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: TX J3092)
Enumeration Date
2006-09-21
Last Update Date
2008-05-20
Business Address
MICHAEL GARY ELLMAN MD
2692 N GALLOWAY 402
MESQUITE, TX 75150-2636
Phone number: 972-682-3909
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Mailing Address
MICHAEL GARY ELLMAN MD
PO BOX 850304
MESQUITE, TX 75185-0304
Phone number: 972-682-3909
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