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1336115922
JOHN HOLBERT ELLYSON
JACKSON, CA
NPI
1336115922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CA G15379)
Enumeration Date
2006-02-24
Last Update Date
2007-07-08
Business Address
Dr. JOHN HOLBERT ELLYSON md
340 LOWE ST
JACKSON, CA 95642-2544
Phone number: 209-223-2474
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Mailing Address
Dr. JOHN HOLBERT ELLYSON md
340 LOWE ST
JACKSON, CA 95642-2544
Phone number: 209-223-2474
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