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1528531944
ELLEN SLADE
CHICAGO, IL
NPI
1528531944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601009218)
Enumeration Date
2019-01-08
Last Update Date
2024-04-25
Business Address
ELLEN SLADE PA-C
2875 W 19TH ST
CHICAGO, IL 60623-3501
Phone number: 313-533-5002
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Mailing Address
ELLEN SLADE PA-C
PO BOX 772290
DETROIT, MI 48277-2290
Phone number:
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