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1316514094
MASON JAMES ELLIS
FAIRFIELD, IA
NPI
1316514094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 106917)
Enumeration Date
2021-06-09
Last Update Date
2021-06-09
Business Address
MASON JAMES ELLIS DPT
1401 S MAIN ST STE 104
FAIRFIELD, IA 52556-3771
Phone number: 641-209-1446
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Mailing Address
MASON JAMES ELLIS DPT
1401 S MAIN ST STE 104
FAIRFIELD, IA 52556-3771
Phone number: 641-209-1446
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