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1265926026
ELLIE RENAE WELLS
LONGVIEW, WA
NPI
1265926026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-06-15
Last Update Date
2023-06-23
Business Address
ELLIE RENAE WELLS
1230 7TH AVE
LONGVIEW, WA 98632-3166
Phone number: 360-636-2400
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Mailing Address
ELLIE RENAE WELLS
245 IMPERIAL DR
LONGVIEW, WA 98632-0704
Phone number: 360-431-6027
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