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1366440919
ELLIS GERARD MAIN
CORPUS CHRISTI, TX
NPI
1366440919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX J2176)
Enumeration Date
2005-07-08
Last Update Date
2009-05-05
Business Address
Dr. ELLIS GERARD MAIN D.O.
3022 MCKINZIE RD
CORPUS CHRISTI, TX 78410-2628
Phone number: 361-241-6700
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Mailing Address
Dr. ELLIS GERARD MAIN D.O.
PO BOX 10426
CORPUS CHRISTI, TX 78460-0426
Phone number: 361-241-6700
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