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1356799985
SAMANTHA ELLIS
PHOENIX, AZ
NPI
1356799985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ AP8278)
Enumeration Date
2016-05-24
Last Update Date
2019-08-23
Business Address
SAMANTHA ELLIS DNP
15420 N 32ND DR
PHOENIX, AZ 85053
Phone number: 602-866-1974
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Mailing Address
SAMANTHA ELLIS DNP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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