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1306136098
MARY BETH ELLIS
SIOUX FALLS, SD
NPI
1306136098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SD CR000759)
Enumeration Date
2011-04-14
Last Update Date
2011-09-01
Business Address
-- MARY BETH ELLIS CRNA
1325 S CLIFF AVE
SIOUX FALLS, SD 57105-1007
Phone number: 605-322-2754
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Mailing Address
-- MARY BETH ELLIS CRNA
PO BOX 5045 ATTN: P.F.S. PROV ENROLL
SIOUX FALLS, SD 57117-5045
Phone number: 605-322-6428
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