GARY D ELLIS

DAYTON, OH
NPI1497189203
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-08-28
Last Update Date2013-08-28
Business Address
-- GARY D ELLIS
4881 SUGAR MAPLE DR 88MDG/MDOS/SGOW WRIGHT PATTERSON AFB
DAYTON, OH 45433-5529
Phone number: 937-257-6876
Mailing Address
-- GARY D ELLIS
2489 EDGEWATER DR UNIT 2
BEAVERCREEK, OH 45431-5644
Phone number: 740-274-1826
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