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1568642890
ELLEN L. ELLSWORTH, OD INC
MENTOR, OH
NPI
1568642890
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Entity Type
Organization
Authorized Contact
ELLEN LILLE ELLSWORTH
President
440-352-8031
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OH 4277 T228)
Enumeration Date
2007-11-03
Last Update Date
2008-07-02
Business Address
ELLEN L. ELLSWORTH, OD INC
9930 JOHNNYCAKE RIDGE RD SUITE 4B
MENTOR, OH 44060-6752
Phone number: 440-352-8031
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Mailing Address
ELLEN L. ELLSWORTH, OD INC
9930 JOHNNYCAKE RIDGE RD SUITE 4B
MENTOR, OH 44060-6752
Phone number: 440-352-8031
Copy
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