JOHN ELLISON

LEWISBURG, WV
NPI1528414984
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  ED1234)
Enumeration Date2016-05-04
Last Update Date2016-05-04
Business Address
-- JOHN ELLISON
400 N JEFFERSON ST
LEWISBURG, WV 24901-1177
Phone number: 304-645-3220
Mailing Address
-- JOHN ELLISON
400 N JEFFERSON ST
LEWISBURG, WV 24901-1177
Phone number: 304-645-3220
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