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1417735085
ELLEN ORTLIP
CUMMING, GA
NPI
1417735085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-09-15
Last Update Date
2023-09-15
Business Address
ELLEN ORTLIP
4835 WESTGATE DR
CUMMING, GA 30040-9446
Phone number: 770-355-8596
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Mailing Address
ELLEN ORTLIP
4835 WESTGATE DR
CUMMING, GA 30040-9446
Phone number:
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