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1376372557
CARRIE SUSANNE ELLIS
LONG BEACH, CA
NPI
1376372557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95030685)
Enumeration Date
2024-07-29
Last Update Date
2024-07-29
Business Address
CARRIE SUSANNE ELLIS AGACNP
444 OBISPO AVE APT 107
LONG BEACH, CA 90814-5100
Phone number: 714-655-2102
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Mailing Address
CARRIE SUSANNE ELLIS AGACNP
444 OBISPO AVE APT 107
LONG BEACH, CA 90814-5100
Phone number:
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