KEVIN ELLIS

EL CAJON, CA
NPI1306861703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A5449)
Enumeration Date2006-07-13
Last Update Date2007-07-08
Business Address
-- KEVIN ELLIS D.O
855 E MADISON AVE
EL CAJON, CA 92020-3819
Phone number: 619-440-2751
Mailing Address
-- KEVIN ELLIS D.O
425 N DATE ST
ESCONDIDO, CA 92025-3413
Phone number: 760-737-2035
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