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1356575211
EBONI MALKIA ELLIS FARABEE
WINSTON SALEM, NC
NPI
1356575211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 2012-00230)
Enumeration Date
2009-05-06
Last Update Date
2023-06-27
Business Address
EBONI MALKIA ELLIS FARABEE M.D.
390 W SALEM AVE
WINSTON SALEM, NC 27101-5861
Phone number: 336-721-2375
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Mailing Address
EBONI MALKIA ELLIS FARABEE M.D.
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number:
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