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1346375235
EDWARD D ELLISON
COEUR D' ALENE, ID
NPI
1346375235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: ID M-8020)
Enumeration Date
2007-02-22
Last Update Date
2012-05-25
Business Address
DR. EDWARD D ELLISON M.D.
980 IRONWOOD DR W STE 104
COEUR D' ALENE, ID 83814
Phone number: 208-667-0621
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Mailing Address
DR. EDWARD D ELLISON M.D.
980 IRONWOOD DR W STE 104
COEUR D' ALENE, ID 83814
Phone number: 208-667-0621
Copy
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