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1417076175
ELLEN IANELLI
MYRTLE BEACH, SC
NPI
1417076175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: SC 22867)
Enumeration Date
2007-03-27
Last Update Date
2019-08-15
Business Address
ELLEN IANELLI APN BC
7075 SWANSONG CIR
MYRTLE BEACH, SC 29579-4363
Phone number: 856-912-7239
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Mailing Address
ELLEN IANELLI APN BC
7075 SWANSONG CIR
MYRTLE BEACH, SC 29579-4363
Phone number: 856-912-7239
Copy
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