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1386859627
MAXLYN LAVIE ELLISON
RALEIGH, NC
NPI
1386859627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: NC NC98-00857)
Enumeration Date
2007-05-11
Last Update Date
2017-01-25
Business Address
MAXLYN LAVIE ELLISON MD
2920 HIGHWOODS BLVD SUITE 127
RALEIGH, NC 27604-1015
Phone number: 919-872-5220
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Mailing Address
MAXLYN LAVIE ELLISON MD
2301 REXWOODS DR STE 102
RALEIGH, NC 27607-3370
Phone number: 919-872-5220
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