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1699546341
LORENZO PAUL ELLIS
FORT WORTH, TX
NPI
1699546341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX 778174)
Enumeration Date
2024-01-11
Last Update Date
2024-01-11
Business Address
LORENZO PAUL ELLIS
1023 LIPSCOMB ST STE 200
FORT WORTH, TX 76104-3102
Phone number: 972-544-6600
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Mailing Address
LORENZO PAUL ELLIS
1802 MEADOWBROOK DR
ABILENE, TX 79603-2419
Phone number: 325-267-0616
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