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1639163884
PATRICE C ELLINGSON
FORT WAYNE, IN
NPI
1639163884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18002448)
Enumeration Date
2005-09-02
Last Update Date
2018-08-15
Business Address
Dr. PATRICE C ELLINGSON O.D.
1515 E PAULDING RD
FORT WAYNE, IN 46816
Phone number: 260-744-2273
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Mailing Address
Dr. PATRICE C ELLINGSON O.D.
1515 E PAULDING RD
FORT WAYNE, IN 46816-1252
Phone number: 260-744-2273
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