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1396784138
RANDALL E ELLIS
CLARKSVILLE, TN
NPI
1396784138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TN MD27444)
Enumeration Date
2006-06-06
Last Update Date
2007-07-08
Business Address
Dr. RANDALL E ELLIS M.D.
2320 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040-5821
Phone number: 931-645-1564
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Mailing Address
Dr. RANDALL E ELLIS M.D.
2320 WILMA RUDOLPH BLVD
CLARKSVILLE, TN 37040-5821
Phone number: 931-645-1564
Copy
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