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1720094808
CAROLYN M ELLIS
EVANSVILLE, IN
NPI
1720094808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71002609A)
Enumeration Date
2006-07-31
Last Update Date
2014-09-15
Business Address
-- CAROLYN M ELLIS NP
4498 1ST AVE
EVANSVILLE, IN 47710-3622
Phone number: 812-436-7280
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Mailing Address
-- CAROLYN M ELLIS NP
PO BOX 3407
EVANSVILLE, IN 47733-3407
Phone number: 812-436-7280
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