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1477322618
NICHOLAS DAVID ELLIS
HOUSTON, TX
NPI
1477322618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX 40954)
Enumeration Date
2023-12-29
Last Update Date
2023-12-29
Business Address
NICHOLAS DAVID ELLIS
3100 CLEBURNE ST
HOUSTON, TX 77004-4501
Phone number: 832-714-7606
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Mailing Address
NICHOLAS DAVID ELLIS
3100 CLEBURNE ST
HOUSTON, TX 77004-4501
Phone number:
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