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1316566037
MICHELE LEE ELLSWORTH
GILBERT, AZ
NPI
1316566037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2020-04-13
Last Update Date
2020-04-13
Business Address
MICHELE LEE ELLSWORTH
4542 E OLIVE AVE
GILBERT, AZ 85234-7606
Phone number: 480-776-9404
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Mailing Address
MICHELE LEE ELLSWORTH
4542 E OLIVE AVE
GILBERT, AZ 85234-7606
Phone number: 480-776-9404
Copy
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