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1477658094
JONATHAN D ELLEN
LAS CRUCES, NM
NPI
1477658094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TN 26906)
Enumeration Date
2006-09-14
Last Update Date
2018-07-18
Business Address
DR. JONATHAN D ELLEN MD
4441 E LOHMAN AVE
LAS CRUCES, NM 88011-8267
Phone number: 901-484-2052
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Mailing Address
DR. JONATHAN D ELLEN MD
PO BOX 1000 DEPT 0420
MEMPHIS, TN 38148-0420
Phone number: 901-484-2052
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