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1346385978
JON B ELLIS
JOHNSON CITY, TN
NPI
1346385978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: TN P1437)
Enumeration Date
2007-02-21
Last Update Date
2007-07-09
Business Address
JON B ELLIS PHD
206 PRINCETON RD SUITE 21
JOHNSON CITY, TN 37601-2058
Phone number: 423-282-8182
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Mailing Address
JON B ELLIS PHD
206 PRINCETON RD SUITE 21
JOHNSON CITY, TN 37601-2058
Phone number: 423-282-8182
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