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1639717697
ELLYSSA BRADY CHINNASWAMY
BALTIMORE, MD
NPI
1639717697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD COOO7434)
Enumeration Date
2019-12-20
Last Update Date
2019-12-20
Business Address
ELLYSSA BRADY CHINNASWAMY PA-C
4940 EASTERN AVE
BALTIMORE, MD 21224-2735
Phone number: 508-954-0741
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Mailing Address
ELLYSSA BRADY CHINNASWAMY PA-C
749 EAGLE POINT DR
VENICE, FL 34285-5000
Phone number: 508-954-0741
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