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1528734118
ADAM C ELLIS
WEST JORDAN, UT
NPI
1528734118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT 9405969-4408)
Enumeration Date
2021-08-23
Last Update Date
2021-12-09
Business Address
ADAM C ELLIS PMHNP
9069 S 1300 W
WEST JORDAN, UT 84088-6713
Phone number: 801-483-1600
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Mailing Address
ADAM C ELLIS PMHNP
9069 S 1300 W
WEST JORDAN, UT 84088-6713
Phone number: 801-483-1600
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