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1376505305
CLARENCE O'NEIL ELLIS
CHARLOTTE, NC
NPI
1376505305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NC 27910)
Enumeration Date
2006-04-05
Last Update Date
2012-02-17
Business Address
-- CLARENCE O'NEIL ELLIS MD
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-9047
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Mailing Address
-- CLARENCE O'NEIL ELLIS MD
PO BOX 601372
CHARLOTTE, NC 28260-1372
Phone number: 704-355-9047
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