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1255707139
MICHELE LYNN ELLETT
RICHMOND, VA
NPI
1255707139
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Former Name
MICHELE LYNN WATERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: VA 0024172824)
Enumeration Date
2015-08-14
Last Update Date
2016-03-03
Business Address
MICHELE LYNN ELLETT CPNP
1250 E MARSHALL ST DEPT. OF NEUROSURGERY
RICHMOND, VA 23298-5051
Phone number: 804-828-9165
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Mailing Address
MICHELE LYNN ELLETT CPNP
PO BOX 91734
RICHMOND, VA 23291-1734
Phone number: 804-358-6100
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