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1427163039
THOMAS W ELLIS
FLINT, MI
NPI
1427163039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI TE086820)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
THOMAS W ELLIS
5202 MILLER RD
FLINT, MI 48507-1040
Phone number: 810-732-7700
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Mailing Address
THOMAS W ELLIS
744 W MICHIGAN AVE
JACKSON, MI 49201-1909
Phone number: 866-570-0077
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