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1609530609
ADAM ELLIS
CHARLOTTE, NC
NPI
1609530609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-10-26
Last Update Date
2021-10-26
Business Address
ADAM ELLIS
9805 MITCHELL GLEN DR
CHARLOTTE, NC 28277-6605
Phone number: 704-776-8937
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Mailing Address
ADAM ELLIS
9805 MITCHELL GLEN DR
CHARLOTTE, NC 28277-6605
Phone number:
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