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1245725035
ROBERT ELLISON
MEMPHIS, TN
NPI
1245725035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: TN 10785)
Enumeration Date
2018-06-25
Last Update Date
2018-06-25
Business Address
ROBERT ELLISON
113 HARBOR TOWN SQ STE 203
MEMPHIS, TN 38103-8890
Phone number: 901-453-6081
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Mailing Address
ROBERT ELLISON
279 QUINN RD
COLLIERVILLE, TN 38017-3004
Phone number: 770-714-4233
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