JACOB ELLIS

COLORADO SPRINGS, CO
NPI1407730765
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086S0129X 
(Licence: CO  1234)
Enumeration Date2025-07-31
Last Update Date2025-07-31
Business Address
Mr. JACOB ELLIS PA-C
7808 ULTRA DR
COLORADO SPRINGS, CO 80920-8058
Phone number: 719-209-5569
Mailing Address
Mr. JACOB ELLIS PA-C
7808 ULTRA DR
COLORADO SPRINGS, CO 80920-8058
Phone number: 719-209-5569
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