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1255680211
PAULA LOU ELLSWORTH
ITHACA, MI
NPI
1255680211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704187187)
Enumeration Date
2012-09-06
Last Update Date
2012-09-06
Business Address
-- PAULA LOU ELLSWORTH NP
114 N MAIN ST
ITHACA, MI 48847-1132
Phone number: 989-875-4166
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Mailing Address
-- PAULA LOU ELLSWORTH NP
406 E ELM ST
CARSON CITY, MI 48811-9693
Phone number: 989-584-3131
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