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1467464875
JOHN SCOTT ELLIS
GREENSBORO, NC
NPI
1467464875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 0106)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
-- JOHN SCOTT ELLIS lat-atc
2707 HENRY ST
GREENSBORO, NC 27405-3669
Phone number: 336-375-2301
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Mailing Address
-- JOHN SCOTT ELLIS lat-atc
611 MASHIE DR
SUMMERFIELD, NC 27358-7922
Phone number: 336-348-6319
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