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1629325972
SHANE P ELLIS
BALTIMORE, MD
NPI
1629325972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MD R144232)
Enumeration Date
2012-08-06
Last Update Date
2012-08-06
Business Address
-- SHANE P ELLIS CRNP ANP BC
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-7755
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Mailing Address
-- SHANE P ELLIS CRNP ANP BC
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-7755
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