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1538219704
WAYNE ENOCH ELLIS
BECKLEY, WV
NPI
1538219704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WV 65453)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Dr. WAYNE ENOCH ELLIS Ph.D., CRNA
1038 N EISENHOWER DR SUITE 152
BECKLEY, WV 25801-3116
Phone number: 304-731-0102
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Mailing Address
Dr. WAYNE ENOCH ELLIS Ph.D., CRNA
1038 N EISENHOWER DR SUITE 152
BECKLEY, WV 25801-3116
Phone number: 304-731-0102
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