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1356317580
THOMAS KEVIN ELLIS
SAINT PAUL, MN
NPI
1356317580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN R0628291)
Enumeration Date
2006-02-27
Last Update Date
2014-12-31
Business Address
-- THOMAS KEVIN ELLIS CRNA
640 JACKSON ST MAIL STOP 11503P
SAINT PAUL, MN 55101-2502
Phone number: 651-254-3456
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Mailing Address
-- THOMAS KEVIN ELLIS CRNA
8100 34TH AVE S 21110Q
BLOOMINGTON, MN 55425-1672
Phone number: 952-883-7961
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