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1669427118
JOHNNY R. ELLISON
GALLIPOLIS, OH
NPI
1669427118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 34-00-3700)
Enumeration Date
2006-05-23
Last Update Date
2022-08-23
Business Address
JOHNNY R. ELLISON D.O.
1051 4TH AVE
GALLIPOLIS, OH 45631-1612
Phone number: 740-446-5244
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Mailing Address
JOHNNY R. ELLISON D.O.
90 JACKSON PIKE
GALLIPOLIS, OH 45631-1560
Phone number: 740-446-5000
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