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1306965140
WILLARD JACKSON ELLIS
ROCKY MOUNT, NC
NPI
1306965140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 4633)
Enumeration Date
2007-03-29
Last Update Date
2023-03-07
Business Address
-- WILLARD JACKSON ELLIS DDS
3136 SUNSET AVENUE
ROCKY MOUNT, NC 27804-3650
Phone number: 252-443-9121
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Mailing Address
-- WILLARD JACKSON ELLIS DDS
3136 SUNSET AVENUE
ROCKY MOUNT, NC 27804-3650
Phone number: 252-443-9121
Copy
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