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1366536278
ZACKRY CALVIN ELLIS
NEWPORT BEACH, CA
NPI
1366536278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA18593)
Enumeration Date
2006-10-03
Last Update Date
2021-10-23
Business Address
Mr. ZACKRY CALVIN ELLIS PA-C
307 PLACENTIA AVE STE 111
NEWPORT BEACH, CA 92663-3307
Phone number: 949-722-1112
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Mailing Address
Mr. ZACKRY CALVIN ELLIS PA-C
307 PLACENTIA AVE STE 111
NEWPORT BEACH, CA 92663-3307
Phone number: 949-722-1112
Copy
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