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1679519268
ELLIS E. EVANS
TULARE, CA
NPI
1679519268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA14524)
Enumeration Date
2006-06-21
Last Update Date
2008-11-11
Business Address
MR. ELLIS E. EVANS PA-C
869 NORTH CHERRY STREET
TULARE, CA 93274-2287
Phone number: 559-685-3450
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Mailing Address
MR. ELLIS E. EVANS PA-C
2550 N HOLLYWOOD WAY SUITE 204
BURBANK, CA 91505-1055
Phone number: 818-557-0135
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