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1366844219
MATTHEW ELLIS
HARTFORD, CT
NPI
1366844219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CT 66621)
Enumeration Date
2014-09-23
Last Update Date
2014-12-01
Business Address
MATTHEW ELLIS CRNA
80 SEYMOUR ST
HARTFORD, CT 06106-3315
Phone number: 860-972-2117
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Mailing Address
MATTHEW ELLIS CRNA
38 HILLCREST AVE
DERBY, CT 06418-2213
Phone number: 203-627-3515
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