ELLEN B ELLICKSON

SAINT CLOUD, MN
NPI1578747085
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MN  R 059057-8)
Enumeration Date2007-12-19
Last Update Date2007-12-19
Business Address
Ms. ELLEN B ELLICKSON CNP
1245 15TH ST N
SAINT CLOUD, MN 56303-1802
Phone number: 320-203-2087
Mailing Address
Ms. ELLEN B ELLICKSON CNP
1245 15TH ST N
SAINT CLOUD, MN 56303-1802
Phone number: 320-203-2087
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