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1356362404
JEAN MARIE LARAMORE ELLIS
STATESVILLE, NC
NPI
1356362404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 103578)
Enumeration Date
2006-07-22
Last Update Date
2007-07-08
Business Address
-- JEAN MARIE LARAMORE ELLIS PA-C
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625-1930
Phone number: 704-838-8210
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Mailing Address
-- JEAN MARIE LARAMORE ELLIS PA-C
PO BOX 1845
STATESVILLE, NC 28687-1845
Phone number: 704-873-4277
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